MEDICARE: REBECCA ANN ZUCH PA-C

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	363A00000X	Physician Assistant	0110003942	VA

General Provider Information

NPI Number	:	1871858290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA ANN ZUCH PA-C

Provider Business Mailing Address
First Line	:	2829 SHORE DR STE 200
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-1498
Country	:	US
Telephone Number	:	757-734-1000
Fax Number	:	757-734-1001

Provider Business Practice Location Address
First Line	:	2829 SHORE DR STE 200
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-1498
Country	:	US
Telephone Number	:	757-734-1000
Fax Number	:	757-734-1001

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

Provider Enumeration Date	:	07/11/2012
Last Update Date	:	09/03/2025

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