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Individual

DR. HENRY JAY ZWALLY II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7116 RITCHIE HWY, GLEN BURNIE, MD 21061-2904
(443) 577-0277
Mailing address
20010 CENTURY BLVD., SUITE 200, GERMANTOWN, MD 20874
(240) 780-7899
(240) 780-7899

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0042684
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
064940600
MD
Enumeration date
06/25/2006
Last updated
08/04/2021
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