Individual
DR. JAN PAUL ZINCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4831 TELSA DR, SUITE F, BOWIE, MD 20715-4323
(240) 737-0080
(301) 262-7530
Mailing address
5530 WISCONSIN AVE, SUITE 820, CHEVY CHASE, MD 20815-4404
(301) 654-2521
(301) 654-2986
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD034750
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD034750
MEDICAL LICENSE
DC
Enumeration date
08/20/2006
Last updated
04/02/2008
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