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Organization

JOHN S ZAVACKI, M.D.,P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN S ZAVACKI M.D. (PRESIDENT)
(570) 829-0031
Entity
Organization

Contact information

Practice address
216 N RIVER ST, SUITE 640 COURTHOUSE SQUARE TOWERS, WILKES BARRE, PA 18702-2532
(570) 829-0031
(570) 829-0158
Mailing address
216 N RIVER ST, SUITE 640 COURTHOUSE SQUARE TOWERS, WILKES BARRE, PA 18702-2532
(570) 829-0031
(570) 829-0158

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD009136-E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZA1635348
HIGHMARK BLUE SHIELD
PA
Enumeration date
09/26/2007
Last updated
09/26/2007
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