Healthcare Provider Details

I. General information

NPI: 1285756882
Provider Name (Legal Business Name): ZIAD HADAYA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 08/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

994 WHITE HORSE AVE
TRENTON NJ
08610-1428
US

IV. Provider business mailing address

994 WHITE HORSE AVE
TRENTON NJ
08610-1428
US

V. Phone/Fax

Practice location:
  • Phone: 609-585-4100
  • Fax:
Mailing address:
  • Phone: 609-585-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMA41052
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMA46260
License Number StateNJ

VIII. Authorized Official

Name: DR. Z HADAYA
Title or Position: OWNER
Credential: MD
Phone: 609-585-4100