Healthcare Provider Details

I. General information

NPI: 1417221680
Provider Name (Legal Business Name): JOYCE ZINSENHEIM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2012
Last Update Date: 03/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1509 SWEET BRIAR RD
GLADWYNE PA
19035-1216
US

IV. Provider business mailing address

PO BOX 324
GLADWYNE PA
19035-0324
US

V. Phone/Fax

Practice location:
  • Phone: 215-586-3703
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License NumberMD 040290E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: