Healthcare Provider Details

I. General information

NPI: 1043374580
Provider Name (Legal Business Name): MARGIT ZAGOR MASSAGE THERAPIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 CORNWALL DR STE 109
EAST BRUNSWICK NJ
08816-3332
US

IV. Provider business mailing address

4 CORNWALL DR STE 109
EAST BRUNSWICK NJ
08816-3332
US

V. Phone/Fax

Practice location:
  • Phone: 732-967-9070
  • Fax: 732-967-9071
Mailing address:
  • Phone: 732-967-9070
  • Fax: 732-967-9071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number38025
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: