Healthcare Provider Details

I. General information

NPI: 1457070633
Provider Name (Legal Business Name): AMY ZHEN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2022
Last Update Date: 02/20/2023
Certification Date: 02/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 OLD HIGHWAY 22
CLINTON NJ
08809-1342
US

IV. Provider business mailing address

59 OLD HIGHWAY 22
CLINTON NJ
08809-1342
US

V. Phone/Fax

Practice location:
  • Phone: 908-730-6363
  • Fax: 908-730-8185
Mailing address:
  • Phone: 908-730-6363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: