Individual
DR. ZACHARY ALEXANDER KISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 707-2583
Mailing address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
OT021444
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2021
Last updated
06/28/2022
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