Healthcare Provider Details

I. General information

NPI: 1508362377
Provider Name (Legal Business Name): GIL ZOIZNER-AGAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MR. GIL ZOIZNER

II. Dates (important events)

Enumeration Date: 04/02/2018
Last Update Date: 06/11/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 UNIVERSITY DR
HERSHEY PA
17033-2360
US

IV. Provider business mailing address

500 UNIVERSITY DR MC CA410
HERSHEY PA
17033-2360
US

V. Phone/Fax

Practice location:
  • Phone: 717-531-6822
  • Fax: 717-531-4907
Mailing address:
  • Phone: 717-531-5208
  • Fax: 717-531-0119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number292727
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License NumberMD485590
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: