Healthcare Provider Details

I. General information

NPI: 1700609492
Provider Name (Legal Business Name): ZAPSTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2024
Last Update Date: 11/01/2024
Certification Date: 11/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 WALNUT ST STE 501
PHILADELPHIA PA
19102-2903
US

IV. Provider business mailing address

1601 WALNUT ST STE 501
PHILADELPHIA PA
19102-2903
US

V. Phone/Fax

Practice location:
  • Phone: 215-820-9265
  • Fax:
Mailing address:
  • Phone: 215-820-9265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN VALLEY
Title or Position: CEO
Credential:
Phone: 215-820-9265