Mark R Zaontz, MD | |
3401 Civic Center Blvd, Children's Hospital Of Philadelphia, Philadelphia, PA 19104-4319 | |
(215) 590-2754 | |
(267) 425-9552 |
Full Name | Mark R Zaontz |
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Gender | Male |
Speciality | Urology |
Location | 3401 Civic Center Blvd, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346216710 | NPI | - | NPPES |
1131025 | Medicaid | PA | |
0838004 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MA05101600 (New Jersey) | Secondary |
208800000X | Urology | MD040687E (Pennsylvania) | Primary |
Entity Name | Children's Surgical Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326117185 PECOS PAC ID: 9739083494 Enrollment ID: O20040209000124 |
Mailing Address | Practice Location Address |
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Mark R Zaontz, MD 100 E Penn Sq, Wanamaker Bldg 9th Floor, Philadelphia, PA 19107-3323 Ph: (267) 425-9538 | Mark R Zaontz, MD 3401 Civic Center Blvd, Children's Hospital Of Philadelphia, Philadelphia, PA 19104-4319 Ph: (215) 590-2754 |
Joseph Francis Harryhill, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 51 N 39th St, Mob Suite 300, Philadelphia, PA 19104 Phone: 215-662-8699 | |
Laura Alexandra Masterson, CRNP Urology Medicare: Not Enrolled in Medicare Practice Location: 3401 Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-1000 | |
Dr. Jessica Pryor, MD Urology Medicare: Medicare Enrolled Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 800-836-7536 | |
Kathleen Hwang, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3701 Market St Fl 8, Philadelphia, PA 19104 Phone: 215-662-8699 Fax: 215-243-2060 | |
Patricia Martha Zahner, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1015 Chestnut St, Suite 620, Philadelphia, PA 19107 Phone: 215-955-6864 Fax: 215-955-2878 | |
Alexander Kutikov, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111 Phone: 215-728-6900 Fax: 215-214-1734 | |
Eugene Jon Pietzak, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-349-5042 |