Provider Demographics
NPI:1578757902
Name:ZELINGER, EVAN (DO)
Entity Type:Individual
Prefix:DR
First Name:EVAN
Middle Name:
Last Name:ZELINGER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8202 WESTMINSTER RD
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1409
Mailing Address - Country:US
Mailing Address - Phone:215-886-2914
Mailing Address - Fax:215-576-0391
Practice Address - Street 1:235 N EASTON RD
Practice Address - Street 2:
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-4717
Practice Address - Country:US
Practice Address - Phone:215-366-1122
Practice Address - Fax:215-576-0391
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS012875208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice