Healthcare Provider Details

I. General information

NPI: 1689877656
Provider Name (Legal Business Name): KATHRYN A ZIEGLER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2007
Last Update Date: 03/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 OLD YORK RD 4RORER
ABINGTON PA
19001-3720
US

IV. Provider business mailing address

1200 OLD YORK RD 4RORER
ABINGTON PA
19001-3720
US

V. Phone/Fax

Practice location:
  • Phone: 215-481-4986
  • Fax:
Mailing address:
  • Phone: 215-481-4986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberOT 012096
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC7-0003833
License Number StateDE
# 3
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberOS015158
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: