Individual
ANDREW HERMAN ZABOLOTSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
833 CHESTNUT ST, PHILADELPHIA, PA 19107-4414
(215) 955-8465
Mailing address
1025 WALNUT ST STE 803, PHILADELPHIA, PA 19107-5001
(215) 955-8768
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT201677
PA
207RG0100X
Gastroenterology Physician
Primary
25MA10128200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0635081
—
NJ
Enumeration date
04/13/2012
Last updated
01/08/2025
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