Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 25MA09688600 | NJ |
NPI | 1063675064 |
---|---|
Provider Name | Dr. Joseph Michael Romilla Zuniga |
First Address | Marlton, NJ 08053 |
Second Address | Cherry Hill, NJ 08003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2008 |
Last Update Date | 19/10/2020 |