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
Fax: (215) 829-7564
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023046513 NPPES
Pennsylvania MEDICAID 0018992530001

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