Healthcare Provider Details

I. General information

NPI: 1205720513
Provider Name (Legal Business Name): DARIA LAJOIE ZUCCHI DPM,MBS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2025
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 N BROAD ST
PHILADELPHIA PA
19140-5103
US

IV. Provider business mailing address

235 ASHLEY WAY
TABERNACLE NJ
08088-9386
US

V. Phone/Fax

Practice location:
  • Phone: 800-836-7536
  • Fax:
Mailing address:
  • Phone: 609-668-9055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberSC007548
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: