Organization
CHAZBRO INC
Active
Other names
Zimmermann's Shoes
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI L FISHER CPED (OFFICE MANAGER)
(410) 544-1302
Entity
Organization
Contact information
Practice address
405 RITCHIE HWY, SEVERNA PARK, MD 21146-2910
(410) 544-1302
(410) 544-3738
Mailing address
405 RITCHIE HWY, SEVERNA PARK, MD 21146-2910
(410) 544-1302
(410) 544-3738
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158778101
—
MD
Enumeration date
04/09/2007
Last updated
02/04/2009
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