MEDICARE: DR. MICHAEL C ZASLOW M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	48969	MA

General Provider Information

NPI Number	:	1588662985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL C ZASLOW M.D.

Provider Business Mailing Address
First Line	:	955 MAIN STREET
Second Line	:	SUITE 302
City	:	WINCHESTER
State	:	MA
Zip	:	01890-1961
Country	:	US
Telephone Number	:	781-729-8070
Fax Number	:	781-721-0338

Provider Business Practice Location Address
First Line	:	955 MAIN STREET
Second Line	:	SUITE 302
City	:	WINCHESTER
State	:	MA
Zip	:	01890-1961
Country	:	US
Telephone Number	:	781-729-8070
Fax Number	:	781-721-0338

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2005
Last Update Date	:	06/02/2008

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