Healthcare Provider Details

I. General information

NPI: 1588244883
Provider Name (Legal Business Name): CLAIRE ELIZABETH ZURLO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2021
Last Update Date: 12/10/2024
Certification Date: 12/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 WALNUT ST STE 805
PHILADELPHIA PA
19107-5001
US

IV. Provider business mailing address

833 CHESTNUT ST STE 220
PHILADELPHIA PA
19107-4405
US

V. Phone/Fax

Practice location:
  • Phone: 215-955-8767
  • Fax:
Mailing address:
  • Phone: 717-877-2029
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD484128
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: