Healthcare Provider Details

I. General information

NPI: 1649654955
Provider Name (Legal Business Name): SAMAN ZAFAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2015
Last Update Date: 07/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5501 OLD YORK ROAD ALBERT EINSTEIN MEDICAL CENTRE
PHILADELPHIA PA
19141
US

IV. Provider business mailing address

5501 OLD YORK ROAD ALBERT EINSTEIN MEDICAL CENTRE
PHILADELPHIA PA
19141
US

V. Phone/Fax

Practice location:
  • Phone: 215-456-6500
  • Fax:
Mailing address:
  • Phone: 215-456-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMT209870
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: