Healthcare Provider Details

I. General information

NPI: 1740253970
Provider Name (Legal Business Name): MICHAEL J ZAPPITELLI JR. D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 02/11/2022
Certification Date: 02/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 W LINFIELD TRAPPE RD STE 100
LIMERICK PA
19468-4295
US

IV. Provider business mailing address

410 W LINFIELD TRAPPE RD STE 100
LIMERICK PA
19468-4295
US

V. Phone/Fax

Practice location:
  • Phone: 610-495-2300
  • Fax: 610-495-2330
Mailing address:
  • Phone: 610-495-2300
  • Fax: 610-495-2330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS012217L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: