Provider Demographics
NPI:1396990032
Name:ZOSLOW, STANLEY HOWARD (MD)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:HOWARD
Last Name:ZOSLOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26449 N 110TH PL
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-8269
Mailing Address - Country:US
Mailing Address - Phone:480-502-4607
Mailing Address - Fax:480-502-4607
Practice Address - Street 1:26449 N 110TH PL
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-8269
Practice Address - Country:US
Practice Address - Phone:480-502-4607
Practice Address - Fax:480-502-4607
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-21
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ6922208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery