Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | MD049932L | PA |
NPI | 1013993179 |
---|---|
Provider Name | Mr. Charles Edward Zaleski JR. |
First Address | Danville, PA 17822-4093 |
Second Address | Lewistown, PA 17044-1310 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2005 |
Last Update Date | 15/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001420574 | (05) | PA |
1420574 | (05) | PA |
F56468 | (02) | |
F56468 | (02) | PA |