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Individual
GERARD JOHN ZACCHEO
Active
Individual
GERARD JOHN ZACCHEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002921L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010147530002
—
PA
01
—
480031529
RAILROAD MEDICARE
PA
Enumeration date
03/16/2006
Last updated
07/06/2010
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