Provider Demographics
NPI:1588662985
Name:ZASLOW, MICHAEL C (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:C
Last Name:ZASLOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:955 MAIN STREET
Mailing Address - Street 2:SUITE 302
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-1961
Mailing Address - Country:US
Mailing Address - Phone:781-729-8070
Mailing Address - Fax:781-721-0338
Practice Address - Street 1:955 MAIN STREET
Practice Address - Street 2:SUITE 302
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-1961
Practice Address - Country:US
Practice Address - Phone:781-729-8070
Practice Address - Fax:781-721-0338
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-09
Last Update Date:2008-06-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA48969207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA35963Medicare UPIN
MAB33681Medicare PIN