Healthcare Provider Details

I. General information

NPI: 1649234758
Provider Name (Legal Business Name): MICHAEL F ZARRO DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 04/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1546 PACKER AVE
PHILADELPHIA PA
19145-5407
US

IV. Provider business mailing address

1546 PACKER AVE
PHILADELPHIA PA
19145-5407
US

V. Phone/Fax

Practice location:
  • Phone: 215-334-9900
  • Fax: 215-467-9060
Mailing address:
  • Phone: 215-334-9900
  • Fax: 215-467-9060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License NumberSC002675L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: