Organization Name: | ZARATE PODIATRY PA |
NPI Number: | 1023158029 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HERMAN R ZARATE (OWNER) |
Mailing Address: | 7610 Carroll Ave Suite 350 Takoma Park |
State: | MD US |
Postal Code: | 209126384 |
Phone Number: | 2404413326 |
Fax Number: | 3017180252 |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | MD01370 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |