Healthcare Provider Details

I. General information

NPI: 1316900897
Provider Name (Legal Business Name): WARREN H ZAGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2006
Last Update Date: 04/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 W LOGAN ST
NORRISTOWN PA
19401-2935
US

IV. Provider business mailing address

994 OLD EAGLE SCHOOL RD STE 1017
WAYNE PA
19087-1802
US

V. Phone/Fax

Practice location:
  • Phone: 610-275-6153
  • Fax: 610-278-7709
Mailing address:
  • Phone: 610-902-6092
  • Fax: 610-902-6081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberMD-071488L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: