Individual
MRS. BEVERLEY MARIA ANNE ZUCCARELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-9900
(215) 707-3831
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-9900
(215) 707-3831
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA057210
PA
Other
Enumeration date
09/29/2014
Last updated
01/31/2017
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