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NPI Code Detail

MEDICARE: ZASLAVSKY DIRECT PRIMARY CARE, PLLC

MEDICARE: ZASLAVSKY DIRECT PRIMARY CARE, PLLC
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1962342501
Entity Type Code : Organization
Provider Name (Legal Business Name) : ZASLAVSKY DIRECT PRIMARY CARE, PLLC
Provider Business Mailing Address
First Line : 141 WOODLANDS DR
Second Line :
City : FALMOUTH
State : ME
Zip : 04105-1190
Country : US
Telephone Number : 631-935-5473
Fax Number : 631-935-5473
Provider Business Practice Location Address
First Line : 141 WOODLANDS DR
Second Line :
City : FALMOUTH
State : ME
Zip : 04105-1190
Country : US
Telephone Number : 631-935-5473
Fax Number : 631-935-5473
Authorized Official
Title or Position : PHYSICIAN/OWNER
Name : ANDREI ZASLAVSKY
Credential : DO
Telephone Number : 631-935-5473
Provider Enumeration Date : 04/01/2026
Last Update Date : 04/01/2026

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