MEDICARE: ROBERT ALAN ZOLTEN 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
1	207RG0100X	Gastroenterology Physician	1651	VI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	91233	OTHER	BCBS
2	00051	OTHER	NHP
3	4024426	OTHER	CIGNA

General Provider Information

NPI Number	:	1649266487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT ALAN ZOLTEN MD

Provider Business Mailing Address
First Line	:	PO BOX 8767
Second Line	:
City	:	ST THOMAS
State	:	VI
Zip	:	00801-1767
Country	:	US
Telephone Number	:	340-514-1051
Fax Number	:

Provider Business Practice Location Address
First Line	:	9048 SUGAR EST
Second Line	:
City	:	ST THOMAS
State	:	VI
Zip	:	00802-3634
Country	:	US
Telephone Number	:	340-514-1051
Fax Number	:

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

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	03/07/2014

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