Provider Demographics
NPI:1235236829
Name:ZURAWSKI, ALAN B (DC)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:B
Last Name:ZURAWSKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 S MOUNTAIN BLVD
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN TOP
Mailing Address - State:PA
Mailing Address - Zip Code:18707-1938
Mailing Address - Country:US
Mailing Address - Phone:570-474-5999
Mailing Address - Fax:570-474-6454
Practice Address - Street 1:184 S MOUNTAIN BLVD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN TOP
Practice Address - State:PA
Practice Address - Zip Code:18707-1938
Practice Address - Country:US
Practice Address - Phone:570-474-5999
Practice Address - Fax:570-474-6454
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003432L111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA565193RGLMedicare PIN