Healthcare Provider Details

I. General information

NPI: 1437477411
Provider Name (Legal Business Name): CHRISTIAN JOSEPH ZAINO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2010
Last Update Date: 09/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 RIDGEDALE AVE SUITE 202
CEDAR KNOLLS NJ
07927-2109
US

IV. Provider business mailing address

218 RIDGEDALE AVE SUITE 202
CEDAR KNOLLS NJ
07927-2109
US

V. Phone/Fax

Practice location:
  • Phone: 908-684-3005
  • Fax: 908-684-3301
Mailing address:
  • Phone: 908-684-3005
  • Fax: 908-684-3301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number279438
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number25-MA-102-19-200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: