Individual
MARK R ZAONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA, PHILADELPHIA, PA 19104-4319
(215) 590-2754
(267) 425-9552
Mailing address
100 E PENN SQ, WANAMAKER BLDG 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9538
(267) 425-9552
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
MA05101600
NJ
208800000X
Urology Physician
Primary
MD040687E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0838004
—
NJ
05
—
1131025
—
PA
Enumeration date
02/27/2006
Last updated
11/21/2018
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