Provider Demographics
NPI:1497810063
Name:ZUROWSKI, WAYNE KENNETH SR (MD)
Entity Type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:KENNETH
Last Name:ZUROWSKI
Suffix:SR
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:PO BOX 3969
Mailing Address - Street 2:
Mailing Address - City:PRINCE FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:20678-2979
Mailing Address - Country:US
Mailing Address - Phone:410-535-7630
Mailing Address - Fax:410-535-7633
Practice Address - Street 1:110 HOSPITAL RD
Practice Address - Street 2:SUITE NUMBER 305
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-4019
Practice Address - Country:US
Practice Address - Phone:410-535-7630
Practice Address - Fax:410-535-7633
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0034990207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD9083Medicare ID - Type Unspecified
A60092Medicare UPIN