Doctor Name: | MR. ZEM WALK |
NPI Number: | 1043310907 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 25MA02516200 |
Business Practice Address: | 776 Northfield Ave Suite 201 West Orange, NJ - 070521102 |
Business Phone Number: | 9737317707 |
Business Fax Number: | 9736690277 |
Mailing Address: | 776 Northfield Ave, Suite 201 WEST ORANGE |
State: | NJ |
Postal Code: | 070521102 |
Phone Number: | 9737317707 |
Fax Number: | 9736690277 |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 25MA02516200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |