Individual
GERARD JOHN ZACCHEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
244 WALNUT ST, SUITE 101, JOHNSTOWN, PA 15901-2930
(814) 535-3287
(814) 535-3287
Mailing address
244 WALNUT ST, SUITE 101, JOHNSTOWN, PA 15901-2930
(814) 535-3287
(814) 535-3287
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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