Healthcare Provider Details

I. General information

NPI: 1265498133
Provider Name (Legal Business Name): ALEKSANDRA E ZGIERSKA MD PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 02/11/2020
Certification Date: 02/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 N NYES RD STE A
HARRISBURG PA
17112-3247
US

IV. Provider business mailing address

PO BOX 858 MCA410
HERSHEY PA
17033-0858
US

V. Phone/Fax

Practice location:
  • Phone: 717-657-4040
  • Fax: 717-671-9038
Mailing address:
  • Phone: 800-243-1455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number46368
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number46368
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD469551
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: