Provider Demographics
NPI:1316900897
Name:ZAGER, WARREN H (MD)
Entity type:Individual
Prefix:
First Name:WARREN
Middle Name:H
Last Name:ZAGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:994 OLD EAGLE SCHOOL RD STE 1017
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-1802
Mailing Address - Country:US
Mailing Address - Phone:610-902-6092
Mailing Address - Fax:610-902-6081
Practice Address - Street 1:306 W LOGAN ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-2935
Practice Address - Country:US
Practice Address - Phone:610-275-6153
Practice Address - Fax:610-278-7709
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-071488L207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2305301OtherUNITED HEALTHCARE
PA0019585500001Medicaid
2173577000OtherINDEPENDENCE BLUE CROSS
1483292OtherHIGHMARK BLUE SHIELD
7083460OtherAETNA
9057124OtherCIGNA
9057124OtherCIGNA
2173577000OtherINDEPENDENCE BLUE CROSS
H87149Medicare UPIN