Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | D0085487 | MD |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | D0085487 | MD |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | D0085487 | MD |
NPI | 1669478178 |
---|---|
Provider Name | Dr. Richard A Zell |
First Address | Bel Air, MD 21014-4336 |
Second Address | Bel Air, MD 21014-4336 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2005 |
Last Update Date | 01/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H28399 | (02) | CT |