Provider Demographics
NPI:1720096571
Name:ZARO, JOHN J JR (DO)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:J
Last Name:ZARO
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1414 BOYER BLVD
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-2645
Mailing Address - Country:US
Mailing Address - Phone:610-275-4104
Mailing Address - Fax:610-275-3123
Practice Address - Street 1:1555 W MAIN ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19403-3276
Practice Address - Country:US
Practice Address - Phone:610-631-6901
Practice Address - Fax:610-631-6904
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS-3768L207Q00000X
NJ25MB07608900207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0047211001OtherKEYSTONE EAST
63787OtherIBC HIGHMARK BLUE SHIELD
3103222OtherAETNA
C28696Medicare UPIN
63787Medicare ID - Type Unspecified