MEDICARE: JAMES J ZALUCKI M.D.

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	208C00000X	Colon & Rectal Surgery Physician	D39638	MD

General Provider Information

NPI Number	:	1760485353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES J ZALUCKI M.D.

Provider Business Mailing Address
First Line	:	4801 DORSEY HALL DR
Second Line	:	STE 216
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-7749
Country	:	US
Telephone Number	:	410-730-1712
Fax Number	:	410-730-1713

Provider Business Practice Location Address
First Line	:	4801 DORSEY HALL DR
Second Line	:	STE 216
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-7749
Country	:	US
Telephone Number	:	410-730-1712
Fax Number	:	410-730-1713

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	08/09/2025

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