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NPI Code Detail

MEDICARE: DANIEL FRANCIS ZINICOLA M.D.

MEDICARE:   DANIEL FRANCIS ZINICOLA  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
1207QG0300XGeriatric Medicine (Family Medicine) Physician32605NC
2208D00000XGeneral Practice Physician32605NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1211831FOTHERNCMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
389945OTHERNCNC BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1811991219
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL FRANCIS ZINICOLA M.D.
Provider Business Mailing Address
First Line : 27 COMMERCE DRIVE
Second Line :
City : ROCKY POINT
State : NC
Zip : 28457
Country : US
Telephone Number : 910-675-8089
Fax Number : 910-675-8103
Provider Business Practice Location Address
First Line : 27 COMMERCE DR
Second Line :
City : ROCKY POINT
State : NC
Zip : 28457-7871
Country : US
Telephone Number : 910-675-8089
Fax Number : 910-675-8103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 01/08/2013

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Directions to “ DANIEL FRANCIS ZINICOLA M.D.” Practice Location

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