| Doctor Name: | DR. JAN PAUL ZINCKE |
| NPI Number: | 1497860704 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | MD034750 |
| Business Practice Address: | 4831 Telsa Dr Suite F Bowie, MD - 207154323 |
| Business Phone Number: | 2407370080 |
| Business Fax Number: | 3012627530 |
| Mailing Address: | 5530 Wisconsin Ave, Suite 820 CHEVY CHASE |
| State: | MD |
| Postal Code: | 208154404 |
| Phone Number: | 3016542521 |
| Fax Number: | 3016542986 |
| NPI Enumeration Date: | 08/20/2006 |
| NPI Last Update Date: | 04/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | MD034750 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DC |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |