Provider Demographics
NPI:1699741876
Name:ZIRWAS, MATTHEW JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:JAMES
Last Name:ZIRWAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2359 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BEXLEY
Mailing Address - State:OH
Mailing Address - Zip Code:43209-2421
Mailing Address - Country:US
Mailing Address - Phone:614-947-1716
Mailing Address - Fax:614-652-3048
Practice Address - Street 1:2359 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BEXLEY
Practice Address - State:OH
Practice Address - Zip Code:43209-2421
Practice Address - Country:US
Practice Address - Phone:614-947-1716
Practice Address - Fax:614-652-3048
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-27
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.088071207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH00000933474OtherANTHEM BLUE CROSS & BLUE SHIELD
OH00000933474OtherANTHEM BLUE CROSS & BLUE SHIELD