Provider Demographics
NPI:1619930708
Name:ZAREK, DEBORAH TANYA (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:TANYA
Last Name:ZAREK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DEBORAH
Other - Middle Name:TANYA
Other - Last Name:ZAREK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3521 SILVERSIDE RD STE 2J
Mailing Address - Street 2:CONCORD PLAZA, RIDGELY BLDG.
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4909
Mailing Address - Country:US
Mailing Address - Phone:302-543-5454
Mailing Address - Fax:302-327-4200
Practice Address - Street 1:3521 SILVERSIDE RD STE 2J
Practice Address - Street 2:CONCORD PLAZA, RIDGELY BLDG.
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4900
Practice Address - Country:US
Practice Address - Phone:302-543-5454
Practice Address - Fax:302-327-4200
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10006537207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000024689Medicaid
DE170694OtherMEDICARE ID- TYPE UNSPECIFIED
DE134247868OtherTAX ID
DE170694OtherMEDICARE ID- TYPE UNSPECIFIED
DEH85281Medicare UPIN