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Individual

RYAN J ZUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2121 MEDICAL PARK DRIVE, SUITE 3, SILVER SPRING, MD 20902
(301) 681-3003
(301) 681-5868
Mailing address
4718 CARR DRIVE, PER-SE TECHNOLOGIES ELLIE CONLEY, FREDERICKSBURG, VA 22408
(540) 891-5764
(540) 891-5769

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0057656
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
60234801
BLUE SHIELD
MD
01
80430040
BLUE SHIELD
DC
05
999700800
MD
Enumeration date
07/24/2006
Last updated
08/05/2008
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