Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Zullo, MD

Individual provider Dermatology Physician · NPI 1053936799

Shannon Zullo, MD is a Dermatology in Allentown, Pennsylvania. Graduated from University of Arizona College of Medicine in 2020, 6 years ago. Practices with St Lukes Physician Group Inc, a 2,127-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Trained at
University of Arizona College of Medicine
Licensed in
PA
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3151 Walbert Ave Ste 301
Allentown, PA 18104-6630
Phone: (484) 503-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD491482 (PA)

Record details

NPI number1053936799
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2020
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025
Mailing address3151 Walbert Ave Ste 301, Allentown, PA 18104-6630

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice St Lukes Physician Group Inc — 2127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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