Healthcare Provider Details
I. General information
NPI: 1710348669
Provider Name (Legal Business Name): DR. ZINTA ZAPP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/18/2016
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
111 S FRONT ST
HARRISBURG PA
17101-2010
US
IV. Provider business mailing address
111 S FRONT ST
HARRISBURG PA
17101-2010
US
V. Phone/Fax
- Phone: 717-782-3131
- Fax:
- Phone: 717-782-3131
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | MD464700 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: