Healthcare Provider Details

I. General information

NPI: 1649214446
Provider Name (Legal Business Name): VINCENT G. ZUWIALA D.P.M., FACFAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 06/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 STATE ST SUITE 2
HAMBURG PA
19526-1823
US

IV. Provider business mailing address

260 STATE ST SUITE 2
HAMBURG PA
19526-1823
US

V. Phone/Fax

Practice location:
  • Phone: 610-562-4999
  • Fax: 610-562-0221
Mailing address:
  • Phone: 610-562-4999
  • Fax: 610-562-0221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberSC002677-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: