MEDICARE: PODIATRIC MEDICAL AND SURGICAL ASSOCIATES, PC

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	213E00000X	Podiatrist	SC002675L	PA

General Provider Information

NPI Number	:	1295737161
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PODIATRIC MEDICAL AND SURGICAL ASSOCIATES, PC

Provider Business Mailing Address
First Line	:	1546 PACKER AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-5407
Country	:	US
Telephone Number	:	215-334-9900
Fax Number	:	215-467-9060

Provider Business Practice Location Address
First Line	:	1546 PACKER AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-5407
Country	:	US
Telephone Number	:	215-334-9900
Fax Number	:	215-467-9060

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MICHAEL F. ZARRO
Credential	:	DPM
Telephone Number	:	215-334-9900

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	07/18/2013

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