Provider Demographics
NPI:1528339439
Name:ZALOGA, EDWARD JAN (DO)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:JAN
Last Name:ZALOGA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:4101 BIRNEY AVE
Mailing Address - Street 2:
Mailing Address - City:MOOSIC
Mailing Address - State:PA
Mailing Address - Zip Code:18507-1323
Mailing Address - Country:US
Mailing Address - Phone:570-343-7364
Mailing Address - Fax:570-343-7367
Practice Address - Street 1:1371 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18509-2840
Practice Address - Country:US
Practice Address - Phone:570-343-7364
Practice Address - Fax:570-343-7367
Is Sole Proprietor?:No
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS006696E207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology