Provider Demographics
NPI:1679581383
Name:RUTOVIC, ZORICA (MD)
Entity Type:Individual
Prefix:
First Name:ZORICA
Middle Name:
Last Name:RUTOVIC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5119 CLAIRTON BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBUTGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236
Mailing Address - Country:US
Mailing Address - Phone:412-881-4930
Mailing Address - Fax:412-881-7387
Practice Address - Street 1:5119 CLAIRTON BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-2708
Practice Address - Country:US
Practice Address - Phone:412-881-4930
Practice Address - Fax:412-881-7387
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD059729L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G61477Medicare UPIN