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NPI Code Detail

MEDICARE: DR. MARIO ZUCCARELLO M.D.

MEDICARE: DR. MARIO ZUCCARELLO M.D.
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
1207T00000XNeurological Surgery Physician35059555OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467485698
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIO ZUCCARELLO M.D.
Provider Business Mailing Address
First Line : PO BOX 643398
Second Line :
City : CINCINNATI
State : OH
Zip : 45264-3398
Country : US
Telephone Number : 513-221-1100
Fax Number : 513-569-5297
Provider Business Practice Location Address
First Line : 3825 EDWARDS RD STE 300
Second Line :
City : CINCINNATI
State : OH
Zip : 45209-1288
Country : US
Telephone Number : 513-221-1100
Fax Number : 513-569-5297
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2006
Last Update Date : 07/21/2022

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