Basic Information
| Provider Information | |||||||||
| NPI: | 1770608978 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZOBIAN | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | C | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6 HEARTHSTONE CT | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | READING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 196063065 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6107799550 | ||||||||
| FaxNumber: | 6107796433 | ||||||||
| Practice Location | |||||||||
| Address1: | 6 HEARTHSTONE CT | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | READING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 196063065 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6107799550 | ||||||||
| FaxNumber: | 6107796433 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/20/2007 | ||||||||
| LastUpdateDate: | 10/07/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | MD432540 | PA | Y | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 102097163 | 05 | PA | MEDICAID | FZ0462440 | 01 | PA | DEA LICENSE | OTHER | MD432540 | 01 | PA | PA LICENSE | OTHER |