Doctor Name: | DR. JACOB ZIVOTOFSKY |
NPI Number: | 1215107883 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 2500 |
Business Practice Address: | 28 Kamoi Suite 600 Kaunakakai, HI - 967480001 |
Business Phone Number: | 8085535038 |
Business Fax Number: | |
Mailing Address: | 335 Arkansas St, SAN FRANCISCO |
State: | CA |
Postal Code: | 941072812 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/10/2008 |
NPI Last Update Date: | 03/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 2500 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |