Provider Demographics
NPI:1205912037
Name:ZAWIN, JOAN
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:ZAWIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 LOTHROP ST STE 700
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2536
Mailing Address - Country:US
Mailing Address - Phone:126-473-5504
Mailing Address - Fax:412-647-7795
Practice Address - Street 1:200 LOTHROP ST STE 700
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2536
Practice Address - Country:US
Practice Address - Phone:142-647-3550
Practice Address - Fax:412-647-7795
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1682552085R0202X
PAMD4708612085P0229X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02519331Medicaid
NJ0052655Medicaid
NY703S81OtherEMPIRE BCBS
NYP00181834Medicare PIN
NY659S51Medicare PIN
NJ0052655Medicaid
NY02519331Medicaid
NYJZ0659S510Medicare PIN