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NPI Code Detail

MEDICARE: ZALAYA JOHNSON

MEDICARE: ZALAYA JOHNSON
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1174478408
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZALAYA JOHNSON
Provider Business Mailing Address
First Line : 302 GREYSTONE LN APT 4D
Second Line :
City : NEWARK
State : DE
Zip : 19711-5979
Country : US
Telephone Number : 610-800-6196
Fax Number :
Provider Business Practice Location Address
First Line : 60 N 36TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-5639
Country : US
Telephone Number : 610-800-6196
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ ZALAYA JOHNSON ” Practice Location

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