Provider Demographics
NPI:1407975444
Name:ZINSSER PLASTIC SURGERY PC
Entity Type:Organization
Organization Name:ZINSSER PLASTIC SURGERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:T
Authorized Official - Last Name:ZINSSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-364-8640
Mailing Address - Street 1:1501 MAPLE AVE
Mailing Address - Street 2:SUITE 101B
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-2553
Mailing Address - Country:US
Mailing Address - Phone:804-474-9805
Mailing Address - Fax:804-474-9810
Practice Address - Street 1:1501 MAPLE AVE
Practice Address - Street 2:SUITE 101B
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-2553
Practice Address - Country:US
Practice Address - Phone:804-474-9805
Practice Address - Fax:804-474-9810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC10183Medicare PIN