Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 9723 | NJ |
NPI | 1114922093 |
---|---|
Provider Name | Dr. Marc Kenneth Zweig |
First Address | Livingston, NJ 07039-8221 |
Second Address | Livingston, NJ 07039-8221 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2005 |
Last Update Date | 08/07/2007 |