Provider Demographics
NPI:1407935851
Name:JOSEPH J ZALADONIS, JR, MD, PC
Entity Type:Organization
Organization Name:JOSEPH J ZALADONIS, JR, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZALADONIS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:610-868-3150
Mailing Address - Street 1:1665 VALLEY CENTER PKWY
Mailing Address - Street 2:SUITE 120
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-2346
Mailing Address - Country:US
Mailing Address - Phone:610-868-3150
Mailing Address - Fax:610-868-3156
Practice Address - Street 1:1665 VALLEY CENTER PKWY
Practice Address - Street 2:SUITE 120
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-2346
Practice Address - Country:US
Practice Address - Phone:610-868-3150
Practice Address - Fax:610-868-3156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD044362L207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA775695Medicare ID - Type Unspecified
PAG02499Medicare UPIN