Healthcare Provider Details

I. General information

NPI: 1821295841
Provider Name (Legal Business Name): EDWARD CARMEN ZULLO CA. DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2007
Last Update Date: 03/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1078 TAYLORSVILLE RD
WASHINGTON CROSSING PA
18977-1316
US

IV. Provider business mailing address

169 S MAIN ST # 2
YARDLEY PA
19067-1640
US

V. Phone/Fax

Practice location:
  • Phone: 609-439-8138
  • Fax:
Mailing address:
  • Phone: 609-439-8138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC000438700
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number25MZ00024300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: