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Uri Martin Zisblatt, MD
Radiation Oncology Physician in Covina, California
NPI 1114921616

Uri Martin Zisblatt is a Radiation Oncology Physician based in Covina, CA and is specialized in Radiation Oncology. Uri Martin Zisblatt practices in Covina, CA and has the professional credentials of MD. The NPI Number for Uri Martin Zisblatt is 1114921616 and holds a License No. G80195 (California).

The current practice location address for Uri Martin Zisblatt is 210 W San Bernardino Rd, Covina, CA and can be reached out via phone at 626-915-6280 and via fax at 626-859-5829.

Location: 210 W San Bernardino Rd, Covina, CA, 91723-1515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114921616
Provider Name
Uri Martin Zisblatt
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
210 W San Bernardino Rd, Covina, CA, 91723-1515
Phone Number
626-915-6280
Fax Number
626-859-5829
Provider Enumeration Date
06/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G801950 05 CA
P00796214 01 CA RAILROAD MEDICARE
920003242 01 RAILROAD MEDICARE
5568573 01 CA AETNA
4988508 01 CA CIGNA PROVIDER #
institution
Provider Business Practice Location Address Details
Address
210 W San Bernardino Rd
City
Covina
State
California
Zip
91723-1515
Phone Number
626-915-6280
Fax Number
626-859-5829
person
Provider Business Mailing Address Details
Address
210 W San Bernardino Rd
City
Covina
State
California
Zip
91723-1515
Phone Number
626-915-6280
Fax Number
626-859-5829
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
G80195 (California)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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