Provider Demographics
NPI:1457369233
Name:ZWEIBACK, DAVID
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:ZWEIBACK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 N LANSDOWNE AVE
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-1018
Mailing Address - Country:US
Mailing Address - Phone:610-259-5855
Mailing Address - Fax:610-259-3385
Practice Address - Street 1:318 N LANSDOWNE AVE
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-1018
Practice Address - Country:US
Practice Address - Phone:610-259-5855
Practice Address - Fax:610-259-3385
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB10523400207R00000X, 207N00000X
PAOS007761L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty