Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | D47091 | MD |
NPI | 1003906033 |
---|---|
Provider Name | Dr. Peter Michael Zawadsky JR. |
First Address | Montgomery Village, MD 20886-1426 |
Second Address | Washington, DC 20307-0003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 08/07/2007 |