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Individual

DR. JODY L. ZISK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-6695
(215) 456-6769
Mailing address
PO BOX 8500-8735, PHILADELPHIA, PA 19178-0001
(215) 456-7000
(215) 254-2599

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0T011001
PA
208000000X
Pediatrics Physician
C7-0003010
DE
208000000X
Pediatrics Physician
OS015019
PA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
OS015019
PA

Other

Enumeration date
03/27/2007
Last updated
08/03/2012
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