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NPI Code Detail

MEDICARE: DR. MARSHALL JAY ZAMANSKY M.D.

MEDICARE: DR. MARSHALL JAY ZAMANSKY M.D.
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
1207Y00000XOtolaryngology Physician35390MA

Other Identifiers

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

General Provider Information

NPI Number : 1558362525
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARSHALL JAY ZAMANSKY M.D.
Provider Business Mailing Address
First Line : 475 PLEASANT ST
Second Line :
City : WORCESTER
State : MA
Zip : 01609-1858
Country : US
Telephone Number : 508-791-6305
Fax Number :
Provider Business Practice Location Address
First Line : 475 PLEASANT ST
Second Line :
City : WORCESTER
State : MA
Zip : 01609-1858
Country : US
Telephone Number : 508-791-6305
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 10/21/2010

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