Organization Name: | PAUL AXELRAD AND JACQUELINE ZUCKERBROD |
NPI Number: | 1881800282 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL R AXELRAD (PARTNER) |
Mailing Address: | 4774 Us Highway 9 Howell |
State: | NJ US |
Postal Code: | 077313354 |
Phone Number: | 7323636222 |
Fax Number: | 7323636222 |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 04/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 25MA05013600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |