MEDICARE: DR. JOSEPH EUGENE DEL ZOTTO D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	TP675	KY
2	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	34007056D	OH
3	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	TP675	KY
4	207R00000X	Internal Medicine Physician	20087	WV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00076945	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5446713	OTHER	AETNA
4	01-10737	OTHER	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1457356776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH EUGENE DEL ZOTTO D.O.

Provider Business Mailing Address
First Line	:	1 INDEPENDENCE PT
Second Line	:	SUITE 212
City	:	GREENVILLE
State	:	SC
Zip	:	29615-4545
Country	:	US
Telephone Number	:	864-797-6400
Fax Number	:	864-797-6198

Provider Business Practice Location Address
First Line	:	701 GROVE RD
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29605-4210
Country	:	US
Telephone Number	:	864-797-6400
Fax Number	:	864-797-6198

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	10/16/2020

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Directions to “ DR. JOSEPH EUGENE DEL ZOTTO D.O.” Practice Location

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