Provider Demographics
NPI:1770550113
Name:ZELNICK, ERIC B (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:B
Last Name:ZELNICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:301 S 7TH AVE
Mailing Address - Street 2:SUITE 215
Mailing Address - City:WEST READING
Mailing Address - State:PA
Mailing Address - Zip Code:19611-1410
Mailing Address - Country:US
Mailing Address - Phone:610-374-4402
Mailing Address - Fax:610-374-7916
Practice Address - Street 1:2230 RIDGEWOOD RD
Practice Address - Street 2:SUITE 100
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-3600
Practice Address - Country:US
Practice Address - Phone:610-374-4401
Practice Address - Fax:610-374-7140
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD023325E207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA138194ES4Medicare ID - Type Unspecified
PAB38853Medicare UPIN