Provider Demographics
NPI:1184625840
Name:ZORANSKI, BERNARD S (DO)
Entity type:Individual
Prefix:
First Name:BERNARD
Middle Name:S
Last Name:ZORANSKI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2 MERIDIAN BLVD
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-3202
Mailing Address - Country:US
Mailing Address - Phone:610-372-4957
Mailing Address - Fax:610-372-3117
Practice Address - Street 1:1788 WILMINGTON PIKE
Practice Address - Street 2:SUITE 2400
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-8181
Practice Address - Country:US
Practice Address - Phone:610-358-9058
Practice Address - Fax:610-558-3391
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS004605L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE50690Medicare UPIN
PA180473Medicare PIN