Mr Theodore Zombolas, PHD, LAC is a
Acupuncturist based in Bristol, Pennsylvania. Mr Theodore Zombolas is licensed to practice in Pennsylvania (license number KO000526) and his current practice location is
234 Mill St, Bristol, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(215) 692-0155.
NPI number for Mr Theodore Zombolas is 1356773006 and his current mailing address is 506 Inman Ter, Willow Grove, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356773006.
Healthcare Provider's Profile
| Full Name | Mr Theodore Zombolas |
|---|
| Gender | Male |
|---|
| Speciality | Acupuncturist |
|---|
| Location | 234 Mill St, Bristol, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1356773006
- Provider Enumeration Date: 08/05/2013
- Last Update Date: 08/06/2013
Medical Identifiers
Medical identifiers for Mr Theodore Zombolas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356773006 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | KO000526 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Theodore Zombolas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Theodore Zombolas, PHD, LAC
506 Inman Ter,
Willow Grove, PA 19090-3614
Ph: (215) 962-0155 | Mr Theodore Zombolas, PHD, LAC
234 Mill St,
Bristol, PA 19007-4809
Ph: (215) 692-0155 |
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