Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 22DI01251800 | NJ |
NPI | 1003294208 |
---|---|
Provider Name | Dr. Robert Zamrin |
First Address | Delmont, NJ 08314-8902 |
Second Address | Delmont, NJ 08314-8902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2015 |
Last Update Date | 08/05/2015 |