Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | MD-018035-E | PA |
NPI | 1104869783 |
---|---|
Provider Name | Dr. Jeffrey C Zerby |
First Address | Wyomissing, PA 19610-2029 |
Second Address | Wyomissing, PA 19610-3335 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 12/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000777864 | (05) | PA |
B33810 | (02) | PA |