MEDICARE: DR. DEBORAH TANYA ZAREK 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	C10006537	DE

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	170694	OTHER	DE	MEDICARE ID- TYPE UNSPECIFIED

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	134247868	OTHER	DE	TAX ID

General Provider Information

NPI Number	:	1619930708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBORAH TANYA ZAREK M.D.

Provider Business Mailing Address
First Line	:	3521 SILVERSIDE RD STE 2J
Second Line	:	CONCORD PLAZA, RIDGELY BLDG.
City	:	WILMINGTON
State	:	DE
Zip	:	19810-4909
Country	:	US
Telephone Number	:	302-543-5454
Fax Number	:	302-327-4200

Provider Business Practice Location Address
First Line	:	3521 SILVERSIDE RD STE 2J
Second Line	:	CONCORD PLAZA, RIDGELY BLDG.
City	:	WILMINGTON
State	:	DE
Zip	:	19810-4900
Country	:	US
Telephone Number	:	302-543-5454
Fax Number	:	302-327-4200

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

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	09/29/2020

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Directions to “ DR. DEBORAH TANYA ZAREK M.D.” Practice Location

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