Healthcare Provider Details

I. General information

NPI: 1770608978
Provider Name (Legal Business Name): DAVID C ZOBIAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 HEARTHSTONE CT SUITE 201
READING PA
19606-3065
US

IV. Provider business mailing address

6 HEARTHSTONE CT SUITE 201
READING PA
19606-3065
US

V. Phone/Fax

Practice location:
  • Phone: 610-779-9550
  • Fax: 610-779-6433
Mailing address:
  • Phone: 610-779-9550
  • Fax: 610-779-6433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD432540
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier102097163
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer
# 2
IdentifierMD432540
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerPA LICENSE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: