Doctor Name: | DR. ROBERT ZANNELLA |
NPI Number: | 1073520912 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M., F.A.C.F.A.S. |
License Number: | 25MD00231900 |
Business Practice Address: | 2050 State Route 27 Suite 101 North Brunswick, NJ - 089021380 |
Business Phone Number: | 7328212400 |
Business Fax Number: | 7328212426 |
Mailing Address: | 2050 State Route 27, Suite 101 NORTH BRUNSWICK |
State: | NJ |
Postal Code: | 089021380 |
Phone Number: | 7328212400 |
Fax Number: | 7328212426 |
NPI Enumeration Date: | 08/02/2006 |
NPI Last Update Date: | 01/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 25MD00231900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |