Provider Demographics
NPI:1447221502
Name:ZEIGEN, SCOTT RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:RICHARD
Last Name:ZEIGEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:130 ALMSHOUSE RD
Mailing Address - Street 2:SUITE 202B
Mailing Address - City:RICHBORO
Mailing Address - State:PA
Mailing Address - Zip Code:18954-1100
Mailing Address - Country:US
Mailing Address - Phone:215-364-8822
Mailing Address - Fax:215-357-7781
Practice Address - Street 1:130 ALMSHOUSE RD
Practice Address - Street 2:SUITE 202B
Practice Address - City:RICHBORO
Practice Address - State:PA
Practice Address - Zip Code:18954-1100
Practice Address - Country:US
Practice Address - Phone:215-364-8822
Practice Address - Fax:215-357-7781
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-27
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD029677E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAZE444149Medicare ID - Type Unspecified
PAB41902Medicare UPIN