Healthcare Provider Details

I. General information

NPI: 1790478873
Provider Name (Legal Business Name): ZENAS ZHUANG DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2023
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

952 AMBOY AVE
EDISON NJ
08837-2810
US

IV. Provider business mailing address

952 AMBOY AVE
EDISON NJ
08837-2810
US

V. Phone/Fax

Practice location:
  • Phone: 732-738-5650
  • Fax:
Mailing address:
  • Phone: 732-738-5650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS044105
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: