Provider Demographics
NPI:1437189321
Name:ZARRA, ANTHONY P (DPM)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:P
Last Name:ZARRA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9010 AUDUBON DR
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-6143
Mailing Address - Country:US
Mailing Address - Phone:724-625-4007
Mailing Address - Fax:
Practice Address - Street 1:401 ROGERS ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740-3636
Practice Address - Country:US
Practice Address - Phone:304-487-9442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV00272213ES0103X
PASC003886R213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0099781000Medicaid
WV00272OtherMEDICAL LICENSE NUMBER
PA0115438320001Medicaid
PASC003886ROtherMEDICAL LICENCE NUMBER
PASC003886ROtherMEDICAL LICENCE NUMBER
PA0115438320001Medicaid