Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | C10003030 | DE |
NPI | 1023060746 |
---|---|
Provider Name | Dr. Marc T Zubrow |
First Address | Newark, DE 19713-2049 |
Second Address | Newark, DE 19713-2049 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000060101 | (05) | DE |
0067884000 | AMERIHEALTH/KEYSTONE (01) | |
1178107001 | CIGNA (01) | |
290749 | MAMSI (01) | |
428345 | INDEPENDENCE BCBS (01) | |
4481193 | AETNA/USHC (01) | |
45014 | COVENTRY (01) | |
52686201 | CAREFIRST BCBS (01) | MD |
B66606 | (02) |