Healthcare Provider Details

I. General information

NPI: 1508172255
Provider Name (Legal Business Name): DEBORAH ANN ZOTTE APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2010
Last Update Date: 08/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 SHAWNEE DR STE 3
WATCHUNG NJ
07069-5803
US

IV. Provider business mailing address

78 ORCHARD RD
MIDDLESEX NJ
08846-1343
US

V. Phone/Fax

Practice location:
  • Phone: 908-755-5400
  • Fax:
Mailing address:
  • Phone: 732-271-0624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NJ00300100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: