Individual
BRIAN ZLOCZOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7500 GERMANTOWN AVE STE 101, PHILADELPHIA, PA 19119-1668
(215) 248-0112
(215) 248-1767
Mailing address
101 E OLNEY AVE STE 400, PHILADELPHIA, PA 19120-2470
(215) 456-1825
(215) 456-5926
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301110491
MI
207Q00000X
Family Medicine Physician
Primary
C1-0026062
DE
207Q00000X
Family Medicine Physician
MD474575
PA
Other
Enumeration date
06/14/2016
Last updated
06/15/2023
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