Provider Demographics
NPI:1245386200
Name:ZINGARO, EDMOND A (MD)
Entity Type:Individual
Prefix:DR
First Name:EDMOND
Middle Name:A
Last Name:ZINGARO
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 1:909 HYDE ST
Mailing Address - Street 2:SUITE 515
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-4822
Mailing Address - Country:US
Mailing Address - Phone:415-929-4630
Mailing Address - Fax:415-776-7764
Practice Address - Street 1:909 HYDE ST
Practice Address - Street 2:SUITE 515
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-4822
Practice Address - Country:US
Practice Address - Phone:415-929-4630
Practice Address - Fax:415-776-7764
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA40332174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist