Provider Demographics
NPI:1235470501
Name:ZUCCONI, MARCO LUIGI (MA, ATC, NASM-PES)
Entity Type:Individual
Prefix:MR
First Name:MARCO
Middle Name:LUIGI
Last Name:ZUCCONI
Suffix:
Gender:M
Credentials:MA, ATC, NASM-PES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4020 MURPHY CANYON RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4407
Mailing Address - Country:US
Mailing Address - Phone:858-874-4506
Mailing Address - Fax:858-292-4690
Practice Address - Street 1:4020 MURPHY CANYON RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4407
Practice Address - Country:US
Practice Address - Phone:858-874-4506
Practice Address - Fax:858-292-4690
Is Sole Proprietor?:No
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer