MEDICARE: DR. MICHAEL A ZITTLE DO

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	207Q00000X	Family Medicine Physician	OS003185L	PA

General Provider Information

NPI Number	:	1639176449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL A ZITTLE DO

Provider Business Mailing Address
First Line	:	312 HARRISBURG ST
Second Line	:
City	:	EAST BERLIN
State	:	PA
Zip	:	17316-9505
Country	:	US
Telephone Number	:	717-259-0222
Fax Number	:	717-259-6348

Provider Business Practice Location Address
First Line	:	312 HARRISBURG ST
Second Line	:
City	:	EAST BERLIN
State	:	PA
Zip	:	17316-9505
Country	:	US
Telephone Number	:	717-259-0222
Fax Number	:	717-259-6348

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	01/23/2021

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Directions to “ DR. MICHAEL A ZITTLE DO” Practice Location

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