Individual
DR. ABRAHAM SOLOMON ZUCKERBROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1860B REISTERSTOWN RD, BALTIMORE, MD 21208-1335
(410) 864-2526
(410) 230-1221
Mailing address
1860B REISTERSTOWN RD, BALTIMORE, MD 21208-1335
(410) 864-2526
(410) 230-1221
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA2257
MD
152WP0200X
Pediatric Optometrist
TA2257
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
777335800
—
MD
01
—
TA2257
MD OPTOMETRY LICENSE
MD
Enumeration date
01/02/2012
Last updated
12/09/2024
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