Provider Demographics
NPI:1588724348
Name:ZAJICEK, ANNE (MD, PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:
Last Name:ZAJICEK
Suffix:
Gender:F
Credentials:MD, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 EXECUTIVE BLVD
Mailing Address - Street 2:SUITE 4A01 MSC 7510
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-7510
Mailing Address - Country:US
Mailing Address - Phone:301-435-6865
Mailing Address - Fax:301-480-2897
Practice Address - Street 1:6100 EXECUTIVE BLVD
Practice Address - Street 2:SUITE 4A01 MSC 7510
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-435-6865
Practice Address - Fax:301-480-2897
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72792208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics