MEDICARE: DR. JAMES Z. CINBERG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	25MA04505500	NJ

General Provider Information

NPI Number	:	1801892732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES Z. CINBERG MD

Provider Business Mailing Address
First Line	:	219 S BROAD ST
Second Line	:	STE 3
City	:	ELIZABETH
State	:	NJ
Zip	:	07202-3453
Country	:	US
Telephone Number	:	908-527-1717
Fax Number	:	908-527-1710

Provider Business Practice Location Address
First Line	:	219 S BROAD ST
Second Line	:	STE 3
City	:	ELIZABETH
State	:	NJ
Zip	:	07202-3453
Country	:	US
Telephone Number	:	908-527-1717
Fax Number	:	908-527-1710

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	07/09/2007

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