Provider Demographics
NPI:1750661906
Name:ZAPPIA, TEODORO G
Entity type:Individual
Prefix:MR
First Name:TEODORO
Middle Name:G
Last Name:ZAPPIA
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 1:1653 INDIAN RIVER RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-3889
Mailing Address - Country:US
Mailing Address - Phone:757-426-7951
Mailing Address - Fax:757-721-7113
Practice Address - Street 1:1653 INDIAN RIVER RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-3889
Practice Address - Country:US
Practice Address - Phone:757-426-7951
Practice Address - Fax:757-721-7113
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-19
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2701 027107A171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications