Individual
DR. TARA ZUKOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3509 N BROAD ST FL 2, PHILADELPHIA, PA 19140-4105
(215) 707-6400
Mailing address
111 DUG RD, WYOMING, PA 18644-9378
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OT023668
PA
Other
Enumeration date
05/25/2024
Last updated
05/25/2024
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