Healthcare Provider Details

I. General information

NPI: 1073572020
Provider Name (Legal Business Name): EYAL BARZEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2006
Last Update Date: 04/29/2021
Certification Date: 04/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 KINGS HWY S #2
CHERRY HILL NJ
08034-2508
US

IV. Provider business mailing address

PO BOX 416210
BOSTON MA
02241-6210
US

V. Phone/Fax

Practice location:
  • Phone: 856-616-8600
  • Fax: 856-616-8601
Mailing address:
  • Phone: 610-644-8900
  • Fax: 484-924-0053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberMD043976L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberD0063319
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number25MA0783300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: