Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 25MA10112000 | NJ |
N | 207R00000X | Internist | MD472736 | PA |
N | 111NI0900X | Internist | MD472736 | PA |
NPI | 1578827440 |
---|---|
Provider Name | Jamie Zacharias |
First Address | Sewell, NJ 08080-2359 |
Second Address | Sewell, NJ 08080-2359 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2012 |
Last Update Date | 28/01/2021 |