Individual
DR. JEREL M ZOLTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3181
(607) 547-6857
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(607) 547-3181
(607) 547-6857
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
135653
NY
207RC0000X
Cardiovascular Disease Physician
Primary
135653
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02737855
—
NY
Enumeration date
05/10/2006
Last updated
01/30/2008
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