Healthcare Provider Details

I. General information

NPI: 1659017762
Provider Name (Legal Business Name): ADAM ZYLBERMAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2022
Last Update Date: 05/11/2022
Certification Date: 05/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CRAWFORDS CORNER RD
HOLMDEL NJ
07733-1976
US

IV. Provider business mailing address

10 WINTHROP DR
BRANCHBURG NJ
08876-3675
US

V. Phone/Fax

Practice location:
  • Phone: 732-226-0018
  • Fax:
Mailing address:
  • Phone: 908-655-8886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00791600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: