Provider Demographics
NPI:1508940586
Name:ZARNOCH, CHESTER WILLIAM JR (MD)
Entity Type:Individual
Prefix:
First Name:CHESTER
Middle Name:WILLIAM
Last Name:ZARNOCH
Suffix:JR
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 1:175 DERBY ST
Mailing Address - Street 2:SUITE 38A
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-4007
Mailing Address - Country:US
Mailing Address - Phone:781-749-2050
Mailing Address - Fax:781-749-2125
Practice Address - Street 1:175 DERBY ST
Practice Address - Street 2:SUITE 38A
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-4057
Practice Address - Country:US
Practice Address - Phone:781-749-2050
Practice Address - Fax:781-749-2125
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA36793207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM09681OtherBCBS
A66993Medicare UPIN
M21118Medicare ID - Type Unspecified