Doctor Name: | DR. EDWARD MICHAEL ZAGULA |
NPI Number: | 1811992258 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | D32088 |
Business Practice Address: | 600 Ridgely Ave Suite 130 Annapolis, MD - 214011001 |
Business Phone Number: | 4102668049 |
Business Fax Number: | 4102668054 |
Mailing Address: | 600 Ridgely Ave, Suite 130 ANNAPOLIS |
State: | MD |
Postal Code: | 214011001 |
Phone Number: | 4102668049 |
Fax Number: | 4102668054 |
NPI Enumeration Date: | 06/14/2005 |
NPI Last Update Date: | 08/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | D32088 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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. |