Provider Demographics
NPI:1447508163
Name:ZEDD, ARNOLD JAY (MD)
Entity type:Individual
Prefix:
First Name:ARNOLD
Middle Name:JAY
Last Name:ZEDD
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 1:2621 JAMESTOWN LANE
Mailing Address - Street 2:#203
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-5882
Mailing Address - Country:US
Mailing Address - Phone:703-566-3161
Mailing Address - Fax:
Practice Address - Street 1:2621 JAMESTOWN LANE
Practice Address - Street 2:#203
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-5882
Practice Address - Country:US
Practice Address - Phone:703-566-3161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101027587208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics