Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 9689 | NJ |
NPI | 1033242755 |
---|---|
Provider Name | Dr. Zia Shey |
First Address | Millburn, NJ 07041-1945 |
Second Address | Millburn, NJ 07041-1945 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 08/07/2007 |