Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DS019574L | PA |
NPI | 1427678531 |
---|---|
Provider Name | Dr. Donnalou Zambelli |
First Address | New Castle, PA 16105-4905 |
Second Address | New Castle, PA 16105-4905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2020 |
Last Update Date | 18/04/2020 |