Doctor Name: | DR. ZACHARY IRA ALBERT |
NPI Number: | 1396883740 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | |
Business Practice Address: | U S Marine Corps Forces Command Health Services Suppor 1468 Ingram Street Norfolk, VA - 235512596 |
Business Phone Number: | 7578361685 |
Business Fax Number: | |
Mailing Address: | U S Marine Corps Forces Command Health Services Suppor, 1468 Ingram Street NORFOLK |
State: | VA |
Postal Code: | 235512596 |
Phone Number: | 7578361685 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |