Provider Demographics
NPI:1134303456
Name:ZLOTA, GEORGE CODRUT (MD)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:CODRUT
Last Name:ZLOTA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:370 FAUNCE CORNER ROAD
Mailing Address - Street 2:SOUTHCOAST PHYSICIAN SERVICES, INC.
Mailing Address - City:NORTH DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-1271
Mailing Address - Country:US
Mailing Address - Phone:508-985-2000
Mailing Address - Fax:508-985-2001
Practice Address - Street 1:101 PAGE STREET
Practice Address - Street 2:SOUTHCOAST PHYSICIAN SERVICES, INC.
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740
Practice Address - Country:US
Practice Address - Phone:508-961-5919
Practice Address - Fax:508-961-5916
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-21
Last Update Date:2010-06-02
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Provider Licenses
StateLicense IDTaxonomies
MA242839207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine