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:
Health care specialties
| Specialty | Code | License # | 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 7 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 | 1346216710 | NPPES |
| Pennsylvania | MEDICAID | 1131025 | |
| Pennsylvania | MEDICAID | 0838004 |
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