Healthcare Provider Details

I. General information

NPI: 1447154281
Provider Name (Legal Business Name): JOHN RAFAEL ZUNIGA DOLLAGA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3122 EASTHILL DR
BETHLEHEM PA
18017-2711
US

IV. Provider business mailing address

3122 EASTHILL DR
BETHLEHEM PA
18017-2711
US

V. Phone/Fax

Practice location:
  • Phone: 484-545-3480
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberSP037326
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: