Provider Demographics
NPI:1922081603
Name:ZERN, RUTHANN (MD)
Entity Type:Individual
Prefix:
First Name:RUTHANN
Middle Name:
Last Name:ZERN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:8110 MAPLE LAWN BLVD STE 235
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2694
Mailing Address - Country:US
Mailing Address - Phone:301-340-8339
Mailing Address - Fax:301-340-9027
Practice Address - Street 1:7505 OSLER DR
Practice Address - Street 2:STE 402
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-7736
Practice Address - Country:US
Practice Address - Phone:410-339-7447
Practice Address - Fax:410-339-3684
Is Sole Proprietor?:No
Enumeration Date:2005-11-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0030622207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD994LM417Medicare PIN
MDB70120Medicare UPIN