Doctor Name: | SETH B ZEBRAK |
NPI Number: | 1043344807 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | 25MP00164100 |
Business Practice Address: | 703 Main St Paterson, NJ - 075032621 |
Business Phone Number: | 9737542486 |
Business Fax Number: | 9737542482 |
Mailing Address: | 7004 Kennedy Blvd E, Apt 32f GUTTENBERG |
State: | NJ |
Postal Code: | 070935029 |
Phone Number: | 6463522885 |
Fax Number: | |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 04/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 25MP00164100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |