Zaontz, Mark R

Zaontz, Mark R is an individual health care provider with primary practice located at 3401 Civic Center Blvd Children'S Hospital Of Philadelphia, Philadelphia PA 19104-4319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Zaontz, Mark R can be contacted via phone (215) 590-2754.

Contact Information

Primary practice address
3401 Civic Center Blvd Children'S Hospital Of Philadelphia Philadelphia PA 19104-4319
Phone: (215) 590-2754
Fax: (267) 425-9552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MA05101600 New Jersey
Allopathic & Osteopathic Physicians / Urology 208800000X MD040687E Pennsylvania

Profile Details

NPI number 1346216710
LBN Legal business name Zaontz, Mark R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Nov 21st, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346216710 NPPES
Pennsylvania MEDICAID 1131025
Pennsylvania MEDICAID 0838004

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