Provider Demographics
NPI:1992889273
Name:ZAMOSTIEN, PAUL STANLEY (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:STANLEY
Last Name:ZAMOSTIEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1 MEDICAL CENTER BLVD
Mailing Address - Street 2:SUITE #334
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-3902
Mailing Address - Country:US
Mailing Address - Phone:610-872-7660
Mailing Address - Fax:610-876-2628
Practice Address - Street 1:1 MEDICAL CENTER BLVD
Practice Address - Street 2:SUITE # 334
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-3902
Practice Address - Country:US
Practice Address - Phone:610-872-7660
Practice Address - Fax:610-876-2628
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2014-03-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD019867E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000651933Medicaid
PA000651933Medicaid
PA68417Medicare PIN