Doctor Name: | DR. DAVID LESLIE ZISOW |
NPI Number: | 1124024500 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME91824 |
Business Practice Address: | 2005 Rock Spring Rd Suite 3 Forest Hill, MD - 210502621 |
Business Phone Number: | 4108791139 |
Business Fax Number: | 4108931158 |
Mailing Address: | 2005 Rock Spring Rd, Suite 3 FOREST HILL |
State: | MD |
Postal Code: | 210502621 |
Phone Number: | 4108791139 |
Fax Number: | 4108931158 |
NPI Enumeration Date: | 06/22/2005 |
NPI Last Update Date: | 05/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | ME91824 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |