Individual
DR. DAVID LESLIE ZISOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2005 ROCK SPRING RD, SUITE 3, FOREST HILL, MD 21050-2621
(410) 879-1139
(410) 893-1158
Mailing address
2005 ROCK SPRING RD, SUITE 3, FOREST HILL, MD 21050-2621
(410) 879-1139
(410) 893-1158
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
D0017174
MD
207VG0400X
Gynecology Physician
ME91824
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
972911900
—
MD
Enumeration date
06/22/2005
Last updated
05/18/2010
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