Basic Information
| Provider Information | |||||||||
| NPI: | 1831683903 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ZORDOK | ||||||||
| FirstName: | MAGDI | ||||||||
| MiddleName: | ATEF | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 MCGREGOR ST | ||||||||
| Address2: | |||||||||
| City: | MANCHESTER | ||||||||
| State: | NH | ||||||||
| PostalCode: | 031023770 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6036635310 | ||||||||
| FaxNumber: | 6036638015 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 MCGREGOR ST | ||||||||
| Address2: | |||||||||
| City: | MANCHESTER | ||||||||
| State: | NH | ||||||||
| PostalCode: | 031023770 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6036635310 | ||||||||
| FaxNumber: | 6036638015 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/21/2018 | ||||||||
| LastUpdateDate: | 11/02/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 276504 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.