Individual
DAVID M. ZISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1403 RHAWN ST, PHILADELPHIA, PA 19111-2803
(215) 728-6688
(215) 342-1337
Mailing address
1403 RHAWN ST, PHILADELPHIA, PA 19111-2803
(215) 728-6688
(215) 342-1337
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD034478E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5430305
—
PA
Enumeration date
08/11/2005
Last updated
05/19/2021
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