Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | SP009121 | PA |
NPI | 1023117405 |
---|---|
Provider Name | Ms. Marcy J Zoller |
First Address | Cheswick, PA 15024-1605 |
Second Address | Pittsburgh, PA 15232-1326 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 26/04/2019 |