Most Relevant Information
Provider Data
| NPI Number: | 1003386327 |
| Provider Name: | ZACHARY JAMES EZROW PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | MA060398 |
Most Important Dates
| Enumeration Date: | 11/29/2018 |
| Last Updated: | 11/29/2018 |
Provider Practice Location
1019 S BROAD ST
LANSDALE
PA
194465338
Practice Location Phone/Fax
| Phone: | 2153615090 |
| Fax: |
Provider Mailing Location
1820 WILLOW LN
MACUNGIE
PA
180629788
Provider Mailing Phone/Fax
| Phone: | 4842253750 |
| Fax: |