Provider Demographics
NPI:1508214305
Name:ZEYZUS JOHNS, BREE (MD)
Entity Type:Individual
Prefix:
First Name:BREE
Middle Name:
Last Name:ZEYZUS JOHNS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 E LANCASTER AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-2100
Mailing Address - Country:US
Mailing Address - Phone:484-476-7255
Mailing Address - Fax:484-476-7854
Practice Address - Street 1:306 E LANCASTER AVE STE 300
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-2100
Practice Address - Country:US
Practice Address - Phone:484-476-7255
Practice Address - Fax:484-476-7854
Is Sole Proprietor?:No
Enumeration Date:2016-06-02
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD474368207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine