LEONARD M. ZULLO,M.D.P.A. (NPI# 1962694919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962694919 |
| Entity Type | Organization |
| Organization Name | LEONARD M. ZULLO,M.D.P.A. |
| Practice Address |
1665 Merritt Blvd Baltimore MD 21222-2117 |
| Practice Telephone | 4102825330 |
| Practice Fax Number | 4102822924 |
| Mailing Telephone | 4102825330 |
| Mailing Fax Number | 4102822924 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |
| Authorized Official Name | DR. LEONARD MICHAEL ZULLO (PRESIDENT) |
| Authorized Official Telephone | 4102825330 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
D0011312 | MD | Ambulatory Health Care Facilities |
| Street Address |
1665 MERRITT BLVD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21222-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740272525 | Leonard Michael Zullo | Family Medicine | 1665 Merritt Blvd, Baltimore, MD 21222-2117 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1043773724 | Agnes Kavari | Occupational Therapy Assistant | 7232 German Hill Road, Heritage Center, Baltimore, MD 21222 | 2019-04-10 |
| 1609335702 | Addiction Treatment of Maryland | Substance Abuse Rehabilitation Facility | 19 Center Place, 1st Floor, Baltimore, MD 21222 | 2019-03-18 |
| 1558833368 | Millennium Residential Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1709 Holaview Road, Dundalk, MD 21222 | 2018-12-19 |
| 1639691447 | Tenicia S Washington | Nurse Practitioner | 1709 Holaview Rd, Dundalk, MD 21222 | 2017-07-13 |
| 1548708126 | Kevin Anthony Mason | Counselor | 7827 Wise Avenue, Dundalk Counseling Center, Baltimore, MD 21222 | 2017-02-03 |
| 1023569266 | Rachel Renee Barbarino | Physician Assistant | 1934 Ewald Ave, Baltimore, MD 21222 | 2016-10-24 |
| 1023562576 | Bd Health Services, Inc | Counselor | 3955 North Point Rd., Dundalk, MD 21222 | 2016-08-12 |
| 1205287596 | Dundalk Health Services, Inc. | Counselor | 6706 Holabird Ave, Baltimore, MD 21222 | 2016-06-28 |
| Find all providers in zip 21222 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
| 1407476955 | Rcc Community Services, Inc | Clinic/Center | 2628 Harford Rd, Baltimore, MD 21218-4928 | 2020-04-24 |
| 1164926085 | Redeem Healthcare and Medical System Inc | Clinic/Center | 3240 Belair Rd Fl 1, Baltimore, MD 21213 | 2018-03-23 |
| 1669983904 | Pricare Medical Center LLC | Clinic/Center | 8113 Harford Rd Ste 100, Baltimore, MD 21234-5790 | 2017-10-13 |
| 1720597420 | Margaret Temitayo Owolabi | Clinic/Center | 5513 York Rd, Baltimore, MD 21212-3804 | 2017-09-25 |
| 1467714618 | Community Care Center Corporation | Clinic/Center | 1216 E Baltimore St, Attn: Community Care Center, Baltimore, MD 21202-4710 | 2012-06-13 |
| 1033716329 | Divine Care Family Practice, LLC | Clinic/Center | 6018 Harford Rd, Baltimore, MD 21214-1327 | 2020-10-08 |
| 1821628801 | Familycare Nurse Practitioner LLC | Clinic/Center | 2300 Garrison Blvd Ste 100, Baltimore, MD 21216-2308 | 2020-01-19 |
| 1902448335 | Jade Health & Wellness, LLC | Clinic/Center | 3301 Belair Rd, Baltimore, MD 21213-1257 | 2019-10-17 |
| 1871154278 | Clinic Management and Development Services, Inc. | Clinic/Center | 1850 N Milton Ave, Baltimore, MD 21213-2549 | 2019-06-26 |
| 1760941041 | North Point Medical Group, LLC | Clinic/Center | 2805 N Point Rd, Baltimore, MD 21222-2413 | 2019-03-18 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.