MEDICARE: ZHEN ZHANG RD

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	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1629674387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZHEN ZHANG RD

Provider Business Mailing Address
First Line	:	5733 GOLDFINCH CT
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-6095
Country	:	US
Telephone Number	:	443-474-0329
Fax Number	:

Provider Business Practice Location Address
First Line	:	5733 GOLDFINCH CT
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-6095
Country	:	US
Telephone Number	:	443-474-0329
Fax Number	:

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

Provider Enumeration Date	:	12/08/2020
Last Update Date	:	12/08/2020

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Directions to “ ZHEN ZHANG RD” Practice Location

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