Healthcare Provider Details

I. General information

NPI: 1033193974
Provider Name (Legal Business Name): DARREN D. ZOSCHE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2005
Last Update Date: 11/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 MENDHAM RD E
MENDHAM NJ
07945-3012
US

IV. Provider business mailing address

160 MENDHAM RD E
MENDHAM NJ
07945-3012
US

V. Phone/Fax

Practice location:
  • Phone: 973-543-4001
  • Fax: 973-543-0481
Mailing address:
  • Phone: 973-543-4001
  • Fax: 973-543-0481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberMC02911
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: