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NPI Code Detail

MEDICARE: DR. JONAH PHILLIP ZUFLACHT MD

MEDICARE: DR. JONAH PHILLIP ZUFLACHT MD
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
12084N0400XNeurology Physician25MA11035600NJ
22084N0400XNeurology PhysicianMD473444PA

General Provider Information

NPI Number : 1528596145
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONAH PHILLIP ZUFLACHT MD
Provider Business Mailing Address
First Line : 3400 SPRUCE ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-4238
Country : US
Telephone Number : 267-595-6254
Fax Number :
Provider Business Practice Location Address
First Line : 3400 SPRUCE ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-4238
Country : US
Telephone Number : 267-595-6254
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2017
Last Update Date : 01/16/2026

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