Provider Demographics
NPI:1659976611
Name:ZEMAN, DOUGLAS PETER
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:PETER
Last Name:ZEMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2239 PERKIOMEN AVE
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-1829
Mailing Address - Country:US
Mailing Address - Phone:610-779-7939
Mailing Address - Fax:610-779-7971
Practice Address - Street 1:2239 PERKIOMEN AVE
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19606-1829
Practice Address - Country:US
Practice Address - Phone:610-779-7919
Practice Address - Fax:610-779-7971
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP454784183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist