Provider Demographics
NPI:1942293618
Name:ZINDER, HERBERT RALPH (CRNA)
Entity Type:Individual
Prefix:MR
First Name:HERBERT
Middle Name:RALPH
Last Name:ZINDER
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:341 LEISTERS CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-6560
Mailing Address - Country:US
Mailing Address - Phone:410-456-2799
Mailing Address - Fax:410-876-7515
Practice Address - Street 1:1205 YORK RD
Practice Address - Street 2:STE 390
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-6210
Practice Address - Country:US
Practice Address - Phone:410-825-6652
Practice Address - Fax:410-825-6654
Is Sole Proprietor?:No
Enumeration Date:2005-08-26
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR045780367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDKCF2OtherBC
MDNA01Medicare ID - Type Unspecified