Healthcare Provider Details

I. General information

NPI: 1669949335
Provider Name (Legal Business Name): JOSEPH PHILIP ZUCCHI PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2018
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 MAIN ST
SALEM NH
03079-5900
US

IV. Provider business mailing address

22 MAIN ST
SALEM NH
03079-5900
US

V. Phone/Fax

Practice location:
  • Phone: 603-685-0462
  • Fax: 603-328-5595
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number1458
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA101346
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1458
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: