Healthcare Provider Details

I. General information

NPI: 1396717260
Provider Name (Legal Business Name): JOSEPH ZAWID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2006
Last Update Date: 01/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 NEW JERSEY AVE ABSECON FAMILY PRACTICE
ABSECON NJ
08201
US

IV. Provider business mailing address

310 NEW JERSEY AVE ABSECON FAMILY PRACTICE
ABSECON NJ
08201
US

V. Phone/Fax

Practice location:
  • Phone: 609-646-7131
  • Fax: 609-646-7161
Mailing address:
  • Phone: 609-646-7131
  • Fax: 609-646-7161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMA26117
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: