Provider Demographics
NPI:1316010101
Name:ZEMEL, WALTER G (MD)
Entity Type:Individual
Prefix:DR
First Name:WALTER
Middle Name:G
Last Name:ZEMEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 LAWN AVENUE
Mailing Address - Street 2:THE SUMMIT SUITE 20
Mailing Address - City:SELLERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18960
Mailing Address - Country:US
Mailing Address - Phone:215-257-0451
Mailing Address - Fax:215-257-4319
Practice Address - Street 1:920 LAWN AVE
Practice Address - Street 2:THE SUMMIT
Practice Address - City:SELLERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18960-1560
Practice Address - Country:US
Practice Address - Phone:215-257-0451
Practice Address - Fax:215-257-4319
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD011281E207Y00000X, 207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Not Answered207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB37241Medicare UPIN
PA122168Medicare ID - Type Unspecified