Provider Demographics
NPI:1023196250
Name:ZAND, PERRY HOWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:PERRY
Middle Name:HOWARD
Last Name:ZAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 CARDINAL LANE
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2944
Mailing Address - Country:US
Mailing Address - Phone:856-429-4460
Mailing Address - Fax:856-429-4212
Practice Address - Street 1:2201 CHAPEL AVENUE WEST
Practice Address - Street 2:SUITE 104
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-2048
Practice Address - Country:US
Practice Address - Phone:856-662-1122
Practice Address - Fax:856-429-4212
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA029791002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ031750120Medicaid
C52942Medicare UPIN
NJ085320Medicare PIN