Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | OS009239L | PA |
N | 207VX0000X | Obstetrician | OS009239L | PA |
NPI | 1275513814 |
---|---|
Provider Name | Dr. Jane Zendarski |
First Address | York, PA 17402-9001 |
Second Address | Lebanon, PA 17046-5606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 12/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001815333 | (05) | PA |
232359401 | MAIN LINE HEALTHCARE (01) | PA |
H08300 | (02) |