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NPI Code Detail

MEDICARE: ALLISON ZAZZALI PIATEK PA-C

MEDICARE: ALLISON ZAZZALI PIATEK PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant018347NY
2363A00000XPhysician Assistant25MP00431600NJ

General Provider Information

NPI Number : 1043609910
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON ZAZZALI PIATEK PA-C
Provider Business Mailing Address
First Line : 301 LIPPINCOTT DR STE 410
Second Line :
City : MARLTON
State : NJ
Zip : 08053-4197
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 W ROUTE 38 STE B
Second Line :
City : MOORESTOWN
State : NJ
Zip : 08057-3424
Country : US
Telephone Number : 856-295-9985
Fax Number : 856-234-3921
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2015
Last Update Date : 03/26/2026

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Directions to “ ALLISON ZAZZALI PIATEK PA-C” Practice Location

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