Healthcare Provider Details

I. General information

NPI: 1649266487
Provider Name (Legal Business Name): ROBERT ALAN ZOLTEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 03/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9048 SUGAR EST
ST THOMAS VI
00802-3634
US

IV. Provider business mailing address

PO BOX 8767
ST THOMAS VI
00801-1767
US

V. Phone/Fax

Practice location:
  • Phone: 340-514-1051
  • Fax:
Mailing address:
  • Phone: 340-514-1051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number1651
License Number StateVI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: