Provider Demographics
NPI:1255320628
Name:ZION, ROBERT N (DPM)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:N
Last Name:ZION
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:773 N 25TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19130-2438
Mailing Address - Country:US
Mailing Address - Phone:215-769-7146
Mailing Address - Fax:215-769-7146
Practice Address - Street 1:773 N 25TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19130-2438
Practice Address - Country:US
Practice Address - Phone:215-769-7146
Practice Address - Fax:215-769-7146
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-19
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC001967L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT27070Medicare UPIN
PAZI116982Medicare ID - Type Unspecified