Individual
JUSTIN BRADLEY ZIEMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD FL 3, PHILADELPHIA, PA 19104-5127
(215) 662-2065
Mailing address
3400 CIVIC CENTER BLVD, 3RD FL WEST, PHILADELPHIA, PA 19104-5127
(215) 662-2065
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
D0079061
MD
208800000X
Urology Physician
Primary
MD451958
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097099900
—
MD
Enumeration date
05/14/2010
Last updated
07/21/2022
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