MEDICARE: LINDA ZULOVICH D.O.

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
1	2084P0800X	Psychiatry Physician	OS008623L	PA

General Provider Information

NPI Number	:	1285621284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA ZULOVICH D.O.

Provider Business Mailing Address
First Line	:	15 WOODLAND CENTER DR
Second Line	:
City	:	GROVE CITY
State	:	PA
Zip	:	16127-4677
Country	:	US
Telephone Number	:	724-458-0811
Fax Number	:	724-458-0835

Provider Business Practice Location Address
First Line	:	15 WOODLAND CENTER DR
Second Line	:
City	:	GROVE CITY
State	:	PA
Zip	:	16127-4677
Country	:	US
Telephone Number	:	724-458-0811
Fax Number	:	724-458-0835

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	05/30/2008

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Directions to “ LINDA ZULOVICH D.O.” Practice Location

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