Provider Demographics
NPI:1659333011
Name:ZERO, JEFFREY M (DO, FAAP)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:M
Last Name:ZERO
Suffix:
Gender:M
Credentials:DO, FAAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 MEADE ST STE 204
Mailing Address - Street 2:
Mailing Address - City:DUNMORE
Mailing Address - State:PA
Mailing Address - Zip Code:18512-3197
Mailing Address - Country:US
Mailing Address - Phone:570-871-4445
Mailing Address - Fax:570-871-4532
Practice Address - Street 1:1000 MEADE ST STE 204
Practice Address - Street 2:
Practice Address - City:DUNMORE
Practice Address - State:PA
Practice Address - Zip Code:18512-3197
Practice Address - Country:US
Practice Address - Phone:570-871-4445
Practice Address - Fax:570-871-4532
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS007972L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001531090Medicaid
PAG05747Medicare UPIN