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Individual
DR. DAVID JAMES ZEGARELLI
Active
Individual
DR. DAVID JAMES ZEGARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
028200-1
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
028200-1
NY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
028200-1
NY
207ZP0101X
Anatomic Pathology Physician
028200-1
NY
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
028200-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057843
—
NJ
01
—
02Q131
EMPIRE BCBS
NY
Enumeration date
08/10/2006
Last updated
12/21/2007
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