Healthcare Provider Details

I. General information

NPI: 1417021650
Provider Name (Legal Business Name): ROBERT F ZAGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BAY AVE 2ND FLOOR SUITE 1
MONTCLAIR NJ
07042-4837
US

IV. Provider business mailing address

PO BOX 486
ROSELAND NJ
07068-0486
US

V. Phone/Fax

Practice location:
  • Phone: 973-259-3555
  • Fax: 973-259-3554
Mailing address:
  • Phone: 973-259-3555
  • Fax: 973-259-3554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number25MA002728500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: