Healthcare Provider Details

I. General information

NPI: 1326358805
Provider Name (Legal Business Name): BRANDON JOSEPH ZUCHOWSKI PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2010
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 E MARKET ST
AKRON OH
44304-1542
US

IV. Provider business mailing address

395 E MARKET ST
AKRON OH
44304-1542
US

V. Phone/Fax

Practice location:
  • Phone: 330-762-8959
  • Fax: 330-762-1224
Mailing address:
  • Phone: 330-762-8959
  • Fax: 330-762-1224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number50.003183
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: