# ALLEN A DZAMBO JR DPM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659557361
- **Authorized official:** DR. ALLEN ANDREW DZAMBO JR. DPM (OWNER)
- **Authorized official phone:** (724) 539-3444

## Contact information

- **Practice address:** 1200 JEFFERSON ST, LATROBE, PA 15650-1915
- **Practice address phone:** (724) 539-3444
- **Mailing address:** 1200 JEFFERSON ST, LATROBE, PA 15650-1915
- **Mailing address phone:** (724) 539-3444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC004642L | PA | Yes |

## Other

- **Enumeration date:** 01/11/2008
- **Last updated:** 06/03/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 17663730003 | — | PA |