Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD011281E | PA |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD011281E | PA |
NPI | 1316010101 |
---|---|
Provider Name | Dr. Walter G. Zemel |
First Address | Sellersville, PA 18960 |
Second Address | Sellersville, PA 18960-1560 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B37241 | (02) | PA |