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Individual

GREGORY J. ZIENIUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 BOWMAN DR, CHOP CARE NETWORK AT VIRTUA - VOORHEES, VOORHEES, NJ 08043-9612
(856) 325-3000
(609) 261-5842
Mailing address
100 E PENN SQ, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9232
(267) 425-9299

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA09055300
NJ
208000000X
Pediatrics Physician
MD444659
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1027285300002
PA
Enumeration date
03/24/2009
Last updated
10/29/2020
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