Provider Demographics
NPI:1699822676
Name:ZEIDMAN, JOAN H (MD)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:H
Last Name:ZEIDMAN
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:PO BOX 22581
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-2581
Mailing Address - Country:US
Mailing Address - Phone:610-482-4795
Mailing Address - Fax:856-528-3117
Practice Address - Street 1:919 CONESTOGA ROAD
Practice Address - Street 2:SUITE 104 BUILDING NUMBER 1
Practice Address - City:ROSEMONT
Practice Address - State:PA
Practice Address - Zip Code:19010
Practice Address - Country:US
Practice Address - Phone:610-525-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD043259E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3716863OtherAETNA HMO
PA0513068000OtherKEYSTONE HMO AMERIHEALTH
PA679020OtherHIGHMARK
PA0513068000OtherPERSONAL CHOICE
PA4233992OtherAETNA USHEALTHCARE
PA0513068000OtherPERSONAL CHOICE
PA4233992OtherAETNA USHEALTHCARE