Healthcare Provider Details

I. General information

NPI: 1124325436
Provider Name (Legal Business Name): ARTHUR V SANZARI RN, MSN, APN-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2011
Last Update Date: 02/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 PARK AVE
EAST ORANGE NJ
07017-1905
US

IV. Provider business mailing address

144 LONGVIEW AVE
LEONIA NJ
07605-1516
US

V. Phone/Fax

Practice location:
  • Phone: 973-672-8573
  • Fax: 973-766-8099
Mailing address:
  • Phone: 201-592-6997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NJ00315100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: