Provider Demographics
NPI:1316156144
Name:ZACKO, JOSEPH CHRISTOPHER (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:CHRISTOPHER
Last Name:ZACKO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:30 HOPE DR
Mailing Address - Street 2:EC110
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-2036
Mailing Address - Country:US
Mailing Address - Phone:717-531-0895
Mailing Address - Fax:717-531-3858
Practice Address - Street 1:30 HOPE DR
Practice Address - Street 2:EC110
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2036
Practice Address - Country:US
Practice Address - Phone:717-531-0895
Practice Address - Fax:717-531-3858
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2019-01-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD440175207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery