MEDICARE: DR. HARRY ZELWIN DPM

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	213E00000X	Podiatrist	36001649	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407861891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARRY ZELWIN DPM

Provider Business Mailing Address
First Line	:	5 SEVERANCE CIRCLE
Second Line	:	# 804
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44118
Country	:	US
Telephone Number	:	216-382-6501
Fax Number	:	216-382-6502

Provider Business Practice Location Address
First Line	:	5 SEVERANCE CIRCLE
Second Line	:	# 804
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44118
Country	:	US
Telephone Number	:	216-382-6501
Fax Number	:	216-382-6502

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

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	06/12/2008

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