Individual
HANS THOELE ZUCKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
701 WEST OAK ST., FRACKVILLE, PA 17931-6021
(570) 874-4100
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS018774
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/02/2014
Last updated
08/30/2020
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