Provider Demographics
NPI:1164663480
Name:ZUCCOLI, GIULIO (MD)
Entity Type:Individual
Prefix:
First Name:GIULIO
Middle Name:
Last Name:ZUCCOLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CHILDREN'S HOSPITAL OF PHILADELPHIA
Mailing Address - Street 2:3401 CIVIC CENTER BLVD, WOOD BUILDING SUITE 2115
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104
Mailing Address - Country:US
Mailing Address - Phone:267-426-2776
Mailing Address - Fax:412-692-6929
Practice Address - Street 1:3401 CIVIC CENTER
Practice Address - Street 2:WOOD BUILDING, SUITE 2115
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:267-426-2776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-17
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD436007174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist