Healthcare Provider Details

I. General information

NPI: 1750318051
Provider Name (Legal Business Name): JOHN ZURLO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94 OLD SHORT HILLS RD
LIVINGSTON NJ
07039-5672
US

IV. Provider business mailing address

PO BOX 1733
FREDERICK MD
21702-0733
US

V. Phone/Fax

Practice location:
  • Phone: 973-322-5800
  • Fax:
Mailing address:
  • Phone: 301-663-4357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMA67181
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: