MEDICARE: HERBERT A. ZEMBLE D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS002222L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	080104542	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00712171-01	OTHER	PA	AMERICHOICE
2	1302952	OTHER	PA	CIGNA
4	667064	OTHER	PA	FIRST HEALTH
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	18170	OTHER	PA	HEALTH PARTNERS
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	1699026	OTHER	PA	PHCS
10	0057914000	OTHER	PA	IBC,KEYSTONE
11	041607	OTHER	PA	HIGHMARK BLUE SHIELD
12	1025867	OTHER	PA	KEYSTONE MERCY
13	1242354	OTHER	PA	UNITED HEALTHCARE
14	PA0034661	OTHER	PA	TRICARE
15	041607	OTHER	PA	PERSONAL CHOICE
16	19192	OTHER	PA	AETNA
17	5275	OTHER	PA	CLEARCARE

General Provider Information

NPI Number	:	1386692697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HERBERT A. ZEMBLE D.O.

Provider Business Mailing Address
First Line	:	10101 ACADEMY RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-1120
Country	:	US
Telephone Number	:	215-632-4000
Fax Number	:	215-632-1661

Provider Business Practice Location Address
First Line	:	10101 ACADEMY RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-1120
Country	:	US
Telephone Number	:	215-632-4000
Fax Number	:	215-632-1661

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	05/23/2016

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Directions to “ HERBERT A. ZEMBLE D.O.” Practice Location

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