MEDICARE: JENNIFER ZAHNISER

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	207N00000X	Dermatology Physician	MD442400	PA

General Provider Information

NPI Number	:	1851566194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ZAHNISER

Provider Business Mailing Address
First Line	:	3105 WILMINGTON RD
Second Line	:	SUITE 103
City	:	NEW CASTLE
State	:	PA
Zip	:	16105-1131
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3105 WILMINGTON RD
Second Line	:	SUITE 103
City	:	NEW CASTLE
State	:	PA
Zip	:	16105-1131
Country	:	US
Telephone Number	:	724-656-8940
Fax Number	:

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

Provider Enumeration Date	:	04/28/2008
Last Update Date	:	04/06/2021

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