Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | MCO2743 | NJ |
NPI | 1003128513 |
---|---|
Provider Name | Dr. Martin Richard Zipkin |
First Address | East Brunswick, NJ 08816-2710 |
Second Address | East Brunswick, NJ 08816-2710 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2010 |
Last Update Date | 26/04/2017 |