Provider Demographics
NPI:1619586427
Name:MC ZASLOW LLC
Entity Type:Organization
Organization Name:MC ZASLOW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:CORRY
Authorized Official - Last Name:ZASLOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-729-8070
Mailing Address - Street 1:955 MAIN ST STE 302
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-4303
Mailing Address - Country:US
Mailing Address - Phone:781-729-8070
Mailing Address - Fax:781-721-0338
Practice Address - Street 1:955 MAIN ST STE 302
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-4303
Practice Address - Country:US
Practice Address - Phone:781-729-8070
Practice Address - Fax:781-721-0338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty