Provider Demographics
NPI:1790824464
Name:ZADEK, ROBERT ENGLE (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:ENGLE
Last Name:ZADEK
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 1:3 SEMINARY DR
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4755
Mailing Address - Country:US
Mailing Address - Phone:410-337-6780
Mailing Address - Fax:410-337-6781
Practice Address - Street 1:3 SEMINARY DR
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-4755
Practice Address - Country:US
Practice Address - Phone:410-337-6780
Practice Address - Fax:410-337-6781
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD12265207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery