Healthcare Provider Details

I. General information

NPI: 1487628780
Provider Name (Legal Business Name): BERNARD L ZIDAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 06/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 DELAFIELD RD SUITE 3050
PITTSBURGH PA
15215-3205
US

IV. Provider business mailing address

200 DELAFIELD RD SUITE 3050
PITTSBURGH PA
15215-3205
US

V. Phone/Fax

Practice location:
  • Phone: 412-781-3744
  • Fax: 412-781-3793
Mailing address:
  • Phone: 412-781-3744
  • Fax: 412-781-3793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD013720E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: