MEDICARE: MR. ANTHONY CHARLES ZAMBONI MD

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	207Y00000X	Otolaryngology Physician	7130	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801999222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANTHONY CHARLES ZAMBONI MD

Provider Business Mailing Address
First Line	:	9770 S MCCARRAN BLVD
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89523
Country	:	US
Telephone Number	:	775-322-4589
Fax Number	:	775-322-3787

Provider Business Practice Location Address
First Line	:	501 HAMMILL LN
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89511-1004
Country	:	US
Telephone Number	:	757-571-1275
Fax Number	:	775-419-0155

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

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	12/30/2019

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