Individual
JAMIE ZAKKAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 W 7TH ST, PEDIATRIC DEPARTMENT, FREDERICK, MD 21701-4506
(240) 566-3470
(240) 566-3966
Mailing address
400 W 7TH ST, PEDIATRIC DEPARTMENT, FREDERICK, MD 21701-4506
(240) 566-3470
(240) 566-3966
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0116025149
VA
208000000X
Pediatrics Physician
Primary
D0079614
MD
Other
Enumeration date
06/28/2012
Last updated
10/18/2015
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