Provider Demographics
NPI:1114012150
Name:CHAMBERS, ZERLINE E (MD)
Entity Type:Individual
Prefix:DR
First Name:ZERLINE
Middle Name:E
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3775 FETTLER PARK DR
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22025-2119
Mailing Address - Country:US
Mailing Address - Phone:703-441-3555
Mailing Address - Fax:703-441-3557
Practice Address - Street 1:3775 FETTLER PARK DR
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22025-2119
Practice Address - Country:US
Practice Address - Phone:703-441-3555
Practice Address - Fax:703-441-3557
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101039281261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006207481Medicaid
VA006207481Medicaid
VAE22174Medicare UPIN