Provider Demographics
NPI:1760483945
Name:FONT, ZULEIKA C (MD)
Entity Type:Individual
Prefix:DR
First Name:ZULEIKA
Middle Name:C
Last Name:FONT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 S 9TH ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5506
Mailing Address - Country:US
Mailing Address - Phone:215-440-8681
Mailing Address - Fax:215-925-5662
Practice Address - Street 1:211 S 9TH ST
Practice Address - Street 2:SUITE 401
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5506
Practice Address - Country:US
Practice Address - Phone:215-440-8681
Practice Address - Fax:215-925-5662
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-063767-L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAG98922Medicare UPIN