Provider Demographics
NPI:1588651491
Name:SZEP, ZSOFIA (MD)
Entity Type:Individual
Prefix:
First Name:ZSOFIA
Middle Name:
Last Name:SZEP
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:ONE MEDICAL CENTER BLVD.
Mailing Address - Street 2:ACP-331
Mailing Address - City:UPLAND
Mailing Address - State:PA
Mailing Address - Zip Code:19013
Mailing Address - Country:US
Mailing Address - Phone:215-707-4739
Mailing Address - Fax:610-619-8428
Practice Address - Street 1:ONE MEDICAL CENTER BLVD.
Practice Address - Street 2:ACP-331
Practice Address - City:UPLAND
Practice Address - State:PA
Practice Address - Zip Code:19013
Practice Address - Country:US
Practice Address - Phone:610-874-1253
Practice Address - Fax:610-619-8428
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD426335207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I32013Medicare UPIN
091917Medicare PIN