Provider Demographics
NPI:1962496349
Name:ZURAD, EDWARD G (MD)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:G
Last Name:ZURAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:71 HOLLOW CREST RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:TUNKHANNOCK
Mailing Address - State:PA
Mailing Address - Zip Code:18657-6669
Mailing Address - Country:US
Mailing Address - Phone:570-836-9074
Mailing Address - Fax:570-836-6154
Practice Address - Street 1:71 HOLLOW CREST RD
Practice Address - Street 2:SUITE 4
Practice Address - City:TUNKHANNOCK
Practice Address - State:PA
Practice Address - Zip Code:18657-6669
Practice Address - Country:US
Practice Address - Phone:570-836-9074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-31
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD029567E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine