Provider Demographics
NPI:1649234758
Name:ZARRO, MICHAEL F (DPM)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:F
Last Name:ZARRO
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 1:1546 PACKER AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19145-5407
Mailing Address - Country:US
Mailing Address - Phone:215-334-9900
Mailing Address - Fax:215-467-9060
Practice Address - Street 1:1546 PACKER AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145-5407
Practice Address - Country:US
Practice Address - Phone:215-334-9900
Practice Address - Fax:215-467-9060
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002675L213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT28787Medicare UPIN
PA111161SF6Medicare ID - Type UnspecifiedMEDICARE