Healthcare Provider Details

I. General information

NPI: 1376528547
Provider Name (Legal Business Name): ANTHONY ZINOBILE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2005
Last Update Date: 06/06/2024
Certification Date: 06/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6678 TOWNE CENTER BLVD
HUNTINGDON PA
16652-6934
US

IV. Provider business mailing address

4750 HEMPSTEAD STATION DR
KETTERING OH
45429-5164
US

V. Phone/Fax

Practice location:
  • Phone: 814-643-1232
  • Fax: 814-643-1232
Mailing address:
  • Phone: 800-875-0136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD040059L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: