Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 25MA6091600 | NJ |
NPI | 1023089778 |
---|---|
Provider Name | Dr. David S Zukoff |
First Address | Tinton Falls, NJ 07701-4950 |
Second Address | Tinton Falls, NJ 07701-4950 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2006 |
Last Update Date | 01/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6356001 | (05) | NJ |
F44594 | (02) | NJ |