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Individual

MOLLY ZIELEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
890 POPLAR CHURCH RD, SUITE 508, CAMP HILL, PA 17011-2250
(717) 761-3875
(717) 761-7893
Mailing address
890 POPLAR CHURCH RD, SUITE 508, CAMP HILL, PA 17011-2250
(717) 761-3875
(717) 761-7893

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA058095
PA
363AS0400X
Surgical Physician Assistant
MA058095
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA058095
STATE MEDICAL LICENSE
PA
Enumeration date
09/24/2015
Last updated
12/12/2018
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