Provider Demographics
NPI:1831171859
Name:ZWERIN, MARVIN B (DO)
Entity type:Individual
Prefix:DR
First Name:MARVIN
Middle Name:B
Last Name:ZWERIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:24 PROFESSIONAL CENTER PKWY
Mailing Address - Street 2:SUITE 220
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94903-2756
Mailing Address - Country:US
Mailing Address - Phone:415-492-8881
Mailing Address - Fax:415-492-8875
Practice Address - Street 1:24 PROFESSIONAL CENTER PKWY
Practice Address - Street 2:SUITE 220
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-2756
Practice Address - Country:US
Practice Address - Phone:415-492-8881
Practice Address - Fax:415-492-8875
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A3234208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation