Provider Demographics
NPI:1508853615
Name:ZDUNEK, MIROSLAW P (MD)
Entity Type:Individual
Prefix:
First Name:MIROSLAW
Middle Name:P
Last Name:ZDUNEK
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:4923 OGLETOWN STANTON RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2081
Mailing Address - Country:US
Mailing Address - Phone:302-225-0451
Mailing Address - Fax:302-225-0472
Practice Address - Street 1:701 N CLAYTON ST STE 401
Practice Address - Street 2:ST FRANCIS MEDICAL SERVICES BUILDING
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-3165
Practice Address - Country:US
Practice Address - Phone:302-421-9411
Practice Address - Fax:302-421-9460
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2021-06-17
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Provider Licenses
StateLicense IDTaxonomies
MDD0056782207RN0300X
DEC1-0006071207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8818908Medicaid
DE0001119701Medicaid
MD402359500Medicaid
NJ8818908Medicaid
DE006308N74Medicare PIN
MD402359500Medicaid