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NPI Code Detail

MEDICARE: CLEMENTE V. ZULUETA JR. MD

MEDICARE:   CLEMENTE V. ZULUETA JR. 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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician36207KY

Other Identifiers

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

General Provider Information

NPI Number : 1831109743
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLEMENTE V. ZULUETA JR. MD
Provider Business Mailing Address
First Line : PO BOX 908
Second Line :
City : JACKSON
State : KY
Zip : 41339-0908
Country : US
Telephone Number : 606-693-1078
Fax Number : 606-693-1079
Provider Business Practice Location Address
First Line : 95 JACKSON HTS
Second Line : STE 201
City : JACKSON
State : KY
Zip : 41339-6500
Country : US
Telephone Number : 606-693-1078
Fax Number : 606-693-1079
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2006
Last Update Date : 07/02/2012

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Directions to “ CLEMENTE V. ZULUETA JR. MD” Practice Location

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