Individual
DR. THOMAS BRUCE ZANDERS
Active
Individual
DR. THOMAS BRUCE ZANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., FACP
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C2-0007275
DE
207R00000X
Internal Medicine Physician
OS016291
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
OS016291
PA
207RP1001X
Pulmonary Disease Physician
Primary
OS016291
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102802860
—
PA
01
—
275503
MEDICARE
PA
01
—
2862489
BLUE SHIELD
PA
Enumeration date
10/28/2005
Last updated
12/14/2017
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