MEDICARE: DR. VITOLD GEORGE ZOCHOWSKI D.O.

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	207Q00000X	Family Medicine Physician	34002145Z	OH

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

General Provider Information

NPI Number	:	1912909268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VITOLD GEORGE ZOCHOWSKI D.O.

Provider Business Mailing Address
First Line	:	5450 FRANTZ RD STE 360
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43016-4141
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8200 HAZELTON ETNA RD SW
Second Line	:	STE 100
City	:	ETNA
State	:	OH
Zip	:	43062-9630
Country	:	US
Telephone Number	:	740-927-7665
Fax Number	:	740-964-0342

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	01/25/2022

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