Healthcare Provider Details

I. General information

NPI: 1689626780
Provider Name (Legal Business Name): EILEEN ZITZER APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 11/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 TOWN BANK RD
NORTH CAPE MAY NJ
08204-4411
US

IV. Provider business mailing address

155 MEDICAL CENTER WAY
SOMERS POINT NJ
08244
US

V. Phone/Fax

Practice location:
  • Phone: 609-898-8899
  • Fax:
Mailing address:
  • Phone: 609-225-2715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NJ00383200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: