Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | D0028639 | MD |
Y | 208600000X | Surgeon | D0028639 | MD |
NPI | 1013904952 |
---|---|
Provider Name | Jacques A Zephirin |
First Address | Camp Springs, MD 20746-4563 |
Second Address | Camp Springs, MD 20746-4563 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2005 |
Last Update Date | 17/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B66909 | (02) |