Provider Demographics
NPI:1902431190
Name:PREBAY, ZACHARY JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:JAMES
Last Name:PREBAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ZACK
Other - Middle Name:JAMES
Other - Last Name:PREBAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1025 WALNUT ST STE 1100
Mailing Address - Street 2:DEPARTMENT OF UROLOGY
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5001
Mailing Address - Country:US
Mailing Address - Phone:215-955-1416
Mailing Address - Fax:215-923-1884
Practice Address - Street 1:33 SOUTH 9TH ST., SUITE 703
Practice Address - Street 2:DEPARTMENT OF UROLOGY
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5001
Practice Address - Country:US
Practice Address - Phone:215-955-1000
Practice Address - Fax:215-503-2066
Is Sole Proprietor?:No
Enumeration Date:2020-03-08
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT222870208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology