Mourelatos, Zissimos
Mourelatos, Zissimos is an individual health care provider with primary practice located at 800 Spruce St , Philadelphia PA 19107-6130. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Neuropathology. Allopathic & Osteopathic Physicians / Neuropathology is his primary health care specialty. Mourelatos, Zissimos can be contacted via phone (215) 829-3000.Contact Information
Primary practice address
800 Spruce St
Philadelphia PA 19107-6130
Phone: (215) 829-3000
Fax: (215) 829-7564
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD067953L | Pennsylvania |
Allopathic & Osteopathic Physicians / Neuropathology | 207ZN0500X | MD067953L | Pennsylvania |
Profile Details
NPI number | 1023046513 |
---|---|
LBN Legal business name | Mourelatos, Zissimos |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2006 |
Last updated | Oct 29th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023046513 | NPPES |
Pennsylvania | MEDICAID | 0018992530001 |
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