Provider Demographics
NPI:1063594828
Name:ZABIK, GERALDINE (MD)
Entity type:Individual
Prefix:
First Name:GERALDINE
Middle Name:
Last Name:ZABIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 WASHINGTON ST
Mailing Address - Street 2:SUITE 546
Mailing Address - City:NEWTON LOWER FALLS
Mailing Address - State:MA
Mailing Address - Zip Code:02462-1650
Mailing Address - Country:US
Mailing Address - Phone:617-964-5020
Mailing Address - Fax:617-964-3033
Practice Address - Street 1:2000 WASHINGTON ST
Practice Address - Street 2:SUITE 546
Practice Address - City:NEWTON LOWER FALLS
Practice Address - State:MA
Practice Address - Zip Code:02462-1650
Practice Address - Country:US
Practice Address - Phone:617-964-5020
Practice Address - Fax:617-964-3033
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA71612207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3077152Medicaid
MA0402225OtherUNITED HEALTHCARE
MA64131OtherHARVARD PILGRIM HEALTHCAR
MA110147643OtherRAILROAD MEDICARE
MAB10418401OtherCIGNA HEALTHCARE
MAJ10992OtherBLUE SHIELD
MA071612OtherTUFTS HEALTH PLAN
MAB10418401OtherCIGNA HEALTHCARE
MA0402225OtherUNITED HEALTHCARE
MA110147643OtherRAILROAD MEDICARE