Basic Information
Provider Information
NPI: 1245456284
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZUZEK
FirstName: RYAN
MiddleName: WILLIAM
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1000 BOWER HILL ROAD
Address2: ST CLAIR ATTN PAMALYN IN AFFILIATE BILLING
City: PITTSBURGH
State: PA
PostalCode: 152431873
CountryCode: US
TelephoneNumber: 4129422548
FaxNumber:  
Practice Location
Address1: 363 VANADIUM RD
Address2: SUITE 300
City: PITTSBURGH
State: PA
PostalCode: 152431497
CountryCode: US
TelephoneNumber: 4124298840
FaxNumber: 4124291924
Other Information
ProviderEnumerationDate: 04/18/2007
LastUpdateDate: 03/04/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/04/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0011XMD440195PAY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
207RC0000XMD440195PAN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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