Provider Demographics
NPI:1881615987
Name:ZERLA, AURELIO S (MD)
Entity type:Individual
Prefix:
First Name:AURELIO
Middle Name:S
Last Name:ZERLA
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 1:6 MANDA CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21769-7851
Mailing Address - Country:US
Mailing Address - Phone:301-371-6840
Mailing Address - Fax:
Practice Address - Street 1:5525 TWIN KNOLLS RD STE 327
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-3207
Practice Address - Country:US
Practice Address - Phone:410-992-9149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00319402084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB70512Medicare UPIN
MD2009269OtherPHCS
MD400149-07OtherBC/BS
MDB70512Medicare UPIN