Healthcare Provider Details

I. General information

NPI: 1477500528
Provider Name (Legal Business Name): ANDREW IRA ZABLOW MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 EDEN LN
WHIPPANY NJ
07981-1402
US

IV. Provider business mailing address

PO BOX 912
WHIPPANY NJ
07981-0912
US

V. Phone/Fax

Practice location:
  • Phone: 973-206-8282
  • Fax: 973-947-9064
Mailing address:
  • Phone: 973-206-8282
  • Fax: 973-947-9064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number25MA04264200
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code2085R0203X
TaxonomyTherapeutic Radiology Physician
License NumberMA42642
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: