Provider Demographics
NPI:1912273046
Name:ZUSES, OLIVER ROYER (MD, MPH)
Entity Type:Individual
Prefix:
First Name:OLIVER
Middle Name:ROYER
Last Name:ZUSES
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:MARIAN
Other - Middle Name:FRANCES
Other - Last Name:ROYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7106 RIDGE RD STE B
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-3883
Mailing Address - Country:US
Mailing Address - Phone:410-687-2300
Mailing Address - Fax:
Practice Address - Street 1:7106 RIDGE RD STE B
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-3883
Practice Address - Country:US
Practice Address - Phone:106-872-3004
Practice Address - Fax:844-304-5355
Is Sole Proprietor?:No
Enumeration Date:2012-03-22
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0079915207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD438487YWV2Medicare PIN
MD438519ZDDBMedicare PIN
MD438519YVZMedicare PIN