Individual
WILLIAM ZACCARDELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6688 RIDGE RD, SUITE 1405, PARMA, OH 44129-5706
(440) 885-3161
(440) 885-3161
Mailing address
5556 RIDGE RD, PARMA, OH 44129-2305
(440) 885-3161
(440) 885-3161
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-002306
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0593326
—
OH
01
—
480004371
RAIROAD MEDICARE
OH
Enumeration date
08/01/2006
Last updated
07/08/2008
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