MEDICARE: DR. EDWARD ZINN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	0101020974	VA

General Provider Information

NPI Number	:	1588665962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD ZINN MD

Provider Business Mailing Address
First Line	:	333 S GLEBE RD
Second Line	:	SUITE 104
City	:	ARLINGTON
State	:	VA
Zip	:	22204-1639
Country	:	US
Telephone Number	:	703-524-6942
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 S GLEBE RD
Second Line	:	SUITE 104
City	:	ARLINGTON
State	:	VA
Zip	:	22204-1639
Country	:	US
Telephone Number	:	703-524-6942
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	07/02/2010

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