Healthcare Provider Details

I. General information

NPI: 1982637005
Provider Name (Legal Business Name): ERIC C ZABAT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: PHIL EDRIC C ZABAT M.D.

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4675A W CHESTER PIKE
NEWTOWN SQUARE PA
19073-2247
US

IV. Provider business mailing address

4675A W CHESTER PIKE
NEWTOWN SQUARE PA
19073-2247
US

V. Phone/Fax

Practice location:
  • Phone: 484-420-4546
  • Fax: 855-538-5151
Mailing address:
  • Phone: 484-420-4546
  • Fax: 855-538-5151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberMD429342
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: