Healthcare Provider Details

I. General information

NPI: 1598441727
Provider Name (Legal Business Name): MARIAM ZAMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2023
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 STULTS RD
DAYTON NJ
08810-2514
US

IV. Provider business mailing address

12 STULTS RD
DAYTON NJ
08810-2514
US

V. Phone/Fax

Practice location:
  • Phone: 732-297-8666
  • Fax:
Mailing address:
  • Phone: 908-848-9187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA13270800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: