Healthcare Provider Details

I. General information

NPI: 1336591239
Provider Name (Legal Business Name): ZACHARY DUSCKAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2016
Last Update Date: 02/24/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PEACH ST #400 ORTHOPAEDICS & SPORTS MEDICINE OF ERIE
ERIE PA
16507
US

IV. Provider business mailing address

HAND MICRO SURGERY & RECONSTRUCTIVE ORTHOPEDICS LLP 300 STATE ST SUITE 205
ERIE PA
16507
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-3536
  • Fax:
Mailing address:
  • Phone: 202-877-3536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberMD475925
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: