Provider Demographics
NPI:1437374121
Name:ZAULS, ANDRIS JASON (MD)
Entity Type:Individual
Prefix:MR
First Name:ANDRIS
Middle Name:JASON
Last Name:ZAULS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:129 CANTON AVE
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:MA
Mailing Address - Zip Code:02186-3503
Mailing Address - Country:US
Mailing Address - Phone:617-767-7294
Mailing Address - Fax:
Practice Address - Street 1:818 OAK STREET
Practice Address - Street 2:GOOD SAMARITAN RADIATION ONCOLOGY CENTER
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301
Practice Address - Country:US
Practice Address - Phone:508-427-2900
Practice Address - Fax:508-427-2901
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2488452085R0001X
MA229353390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program