Healthcare Provider Details

I. General information

NPI: 1841528650
Provider Name (Legal Business Name): DARA MARIE ZAVODNY M.ED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2009
Last Update Date: 12/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1041 W BRIDGE ST
PHOENIXVILLE PA
19460-4342
US

IV. Provider business mailing address

1041 W BRIDGE ST
PHOENIXVILLE PA
19460-4342
US

V. Phone/Fax

Practice location:
  • Phone: 610-933-8110
  • Fax: 610-933-7451
Mailing address:
  • Phone: 610-933-8110
  • Fax: 610-933-7451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: