Provider Demographics
NPI:1891873865
Name:ZARRELLA, GEOFFREY C (DO)
Entity type:Individual
Prefix:
First Name:GEOFFREY
Middle Name:C
Last Name:ZARRELLA
Suffix:
Gender:M
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-355-0340
Mailing Address - Fax:856-355-0330
Practice Address - Street 1:1113 HOSPITAL DR STE 202
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-1129
Practice Address - Country:US
Practice Address - Phone:609-835-3550
Practice Address - Fax:609-835-3557
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2024-10-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMB07803700207RC0000X
NJ25MB07803700207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJMB07803700OtherNJ LISENCE