Healthcare Provider Details

I. General information

NPI: 1790746725
Provider Name (Legal Business Name): ZUBEDA I RAJPUT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 11/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

258 N NEW RD
PLEASANTVILLE NJ
08232
US

IV. Provider business mailing address

258 N NEW RD
PLEASANTVILLE NJ
08232
US

V. Phone/Fax

Practice location:
  • Phone: 609-646-4064
  • Fax: 609-272-8526
Mailing address:
  • Phone: 609-646-4064
  • Fax: 609-272-8526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMA36960
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: