Organization
BRADFORD Z-STAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD JAMES ZMUDA (PRESIDENT/OWNER)
(814) 598-8924
Entity
Organization
Contact information
Practice address
26 PIKE ST, BRADFORD, PA 16701-2347
(814) 598-8924
(814) 368-8675
Mailing address
26 PIKE ST, BRADFORD, PA 16701-2347
(814) 598-8924
(814) 368-8675
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05187
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02739004
—
NY
05
—
1014788177
—
PA
01
—
1808023
HIGHMARK BLUE SHIELD
PA
01
—
P00383620
RAILROAD MEDICARE
PA
Enumeration date
12/18/2005
Last updated
07/20/2007
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