Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | MD042432L | PA |
NPI | 1023042355 |
---|---|
Provider Name | Dr. Gregory P Zollner |
First Address | Langhorne, PA 19047-1816 |
Second Address | Langhorne, PA 19047-1816 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 18/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F54185 | (02) | PA |