Provider Demographics
NPI:1477135945
Name:ZULLO, CHRISTOPHER P
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:P
Last Name:ZULLO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 ROBSAN PL
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:MA
Mailing Address - Zip Code:02766-1051
Mailing Address - Country:US
Mailing Address - Phone:508-222-5712
Mailing Address - Fax:
Practice Address - Street 1:6 ROBSAN PL
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:MA
Practice Address - Zip Code:02766-1051
Practice Address - Country:US
Practice Address - Phone:508-222-5712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-24
Last Update Date:2021-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2664183500000X
MA20497183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist