Healthcare Provider Details

I. General information

NPI: 1285607002
Provider Name (Legal Business Name): WILLIAM S. ZILLWEGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 01/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9104 BABCOCK BLVD SUITE 3111
PITTSBURGH PA
15237-5818
US

IV. Provider business mailing address

9104 BABCOCK BLVD SUITE 3111
PITTSBURGH PA
15237-5818
US

V. Phone/Fax

Practice location:
  • Phone: 412-366-2950
  • Fax: 412-366-2775
Mailing address:
  • Phone: 412-366-2950
  • Fax: 412-366-2775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number054995L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: