Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | OS005499L | PA |
NPI | 1013981307 |
---|---|
Provider Name | Michael Zakrzewski |
First Address | Philadelphia, PA 19107-1500 |
Second Address | Lansdale, PA 19446-7205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 16/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001013863 | (05) | PA |