Zavitsanos, Thomas P.
Zavitsanos, Thomas P. is an individual health care provider with primary practice located at 3998 Red Lion Rd Suite 304, Philadelphia PA 19114-1445. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Zavitsanos, Thomas P. can be contacted via phone (215) 612-4060.Contact Information
Primary practice address
3998 Red Lion Rd Suite 304
Philadelphia PA 19114-1445
Phone: (215) 612-4060
Fax: (215) 612-2630
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD041904E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | MD041904E | Pennsylvania |
Profile Details
| NPI number | 1144240243 |
|---|---|
| LBN Legal business name | Zavitsanos, Thomas P. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Feb 8th, 2012 - about 12 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 | 1144240243 | NPPES |
| Pennsylvania | MEDICAID | 0012020000002 | |
| Pennsylvania | Other | 810454462 | |
| Pennsylvania | MEDICAID | 0012020000005 | |
| Pennsylvania | MEDICAID | 0012020000001 | |
| Pennsylvania | MEDICAID | 0012020000006 | |
| Pennsylvania | Other | 30002953 | |
| Pennsylvania | Other | 605367 | |
| Pennsylvania | Other | 050090775 | |
| Pennsylvania | Other | 1134679 | |
| Pennsylvania | Other | 3056444 | |
| Pennsylvania | Other | 30070979 | |
| Pennsylvania | Other | 605367 | |
| Pennsylvania | Other | 01202000-05 | |
| Pennsylvania | Other | 0427892000 | |
| Pennsylvania | Other | 1330666 | |
| Pennsylvania | Other | 1242712 |
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