Provider Demographics
NPI:1003865312
Name:ZURLO, JOHN J (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:J
Last Name:ZURLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1015 CHESTNUT STREET
Mailing Address - Street 2:SUITE 1020
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4310
Mailing Address - Country:US
Mailing Address - Phone:215-955-7785
Mailing Address - Fax:215-955-9362
Practice Address - Street 1:1015 CHESTNUT STREET
Practice Address - Street 2:SUITE 1020
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107
Practice Address - Country:US
Practice Address - Phone:215-955-7785
Practice Address - Fax:215-955-9362
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2019-07-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD042002L207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012065650001Medicaid
PA0012065650001Medicaid
E55856Medicare UPIN