MEDICARE: DR. MICHAEL F ZARRO DPM

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	213EP1101X	Primary Podiatric Medicine Podiatrist	SC002675L	PA

General Provider Information

NPI Number	:	1649234758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL F ZARRO DPM

Provider Business Mailing Address
First Line	:	1546 PACKER AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-5407
Country	:	US
Telephone Number	:	215-334-9900
Fax Number	:	215-467-9060

Provider Business Practice Location Address
First Line	:	1546 PACKER AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-5407
Country	:	US
Telephone Number	:	215-334-9900
Fax Number	:	215-467-9060

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

Provider Enumeration Date	:	04/14/2006
Last Update Date	:	04/21/2011

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