Provider Demographics
NPI:1639142763
Name:ZANT, JULIUS DAVID (MD)
Entity Type:Individual
Prefix:
First Name:JULIUS
Middle Name:DAVID
Last Name:ZANT
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 1:540 SNOW HILL RD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-6031
Mailing Address - Country:US
Mailing Address - Phone:410-860-0084
Mailing Address - Fax:410-860-0411
Practice Address - Street 1:540 SNOW HILL RD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-6031
Practice Address - Country:US
Practice Address - Phone:410-860-0084
Practice Address - Fax:410-860-0411
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0019432207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD526681500Medicaid
MD526681500Medicaid
A92869Medicare UPIN