Provider Demographics
NPI:1710109608
Name:ZOHAR, AVIVA (MD)
Entity Type:Individual
Prefix:DR
First Name:AVIVA
Middle Name:
Last Name:ZOHAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AVIVA
Other - Middle Name:
Other - Last Name:FOHRER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:822 MONTGOMERY AVE
Mailing Address - Street 2:SUITE 314
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072
Mailing Address - Country:US
Mailing Address - Phone:215-879-6116
Mailing Address - Fax:215-477-0973
Practice Address - Street 1:822 MONTGOMERY AVE
Practice Address - Street 2:SUITE 314
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072
Practice Address - Country:US
Practice Address - Phone:610-455-4254
Practice Address - Fax:610-455-4254
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD438613207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine