Healthcare Provider Details

I. General information

NPI: 1265541023
Provider Name (Legal Business Name): DR. FRANK JOSEPH ZSOLDOS JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 11/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 CREST RD SUITE 101
SAINT ALBANS VT
05478-9503
US

IV. Provider business mailing address

260 CREST RD SUITE 101
SAINT ALBANS VT
05478-9503
US

V. Phone/Fax

Practice location:
  • Phone: 802-524-8805
  • Fax: 802-524-8939
Mailing address:
  • Phone: 802-524-8805
  • Fax: 802-524-8939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number0420005941
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: