Healthcare Provider Details

I. General information

NPI: 1235206921
Provider Name (Legal Business Name): ZAVOD KING BARTLETT PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CHURCH RD SUITE 300
ARDMORE PA
19003
US

IV. Provider business mailing address

100 CHURCH RD SUITE 300
ARDMORE PA
19003
US

V. Phone/Fax

Practice location:
  • Phone: 610-896-8582
  • Fax: 610-896-7911
Mailing address:
  • Phone: 610-896-8582
  • Fax: 610-896-7911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANK H KING JR.
Title or Position: PRESIDENT
Credential: MD
Phone: 610-896-8582