Healthcare Provider Details

I. General information

NPI: 1326143405
Provider Name (Legal Business Name): ZAPANTA MEDICAL ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 04/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 ERNSTON RD
PARLIN NJ
08859
US

IV. Provider business mailing address

340 ERNSTON RD
PARLIN NJ
08859
US

V. Phone/Fax

Practice location:
  • Phone: 732-727-5114
  • Fax: 732-721-7221
Mailing address:
  • Phone: 732-727-5114
  • Fax: 732-721-7221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number032797
License Number StateNJ

VIII. Authorized Official

Name: DR. VINCENTE TRINIDAD ZAPANTA
Title or Position: PHYSICIAN PRESIDENT
Credential: MD
Phone: 732-727-5114