MEDICARE: BRUCE CHARLES ZABLOW MD MSPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085N0700X	Neuroradiology Physician	1288861	NY
2	207T00000X	Neurological Surgery Physician	25MA04764200	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285618843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRUCE CHARLES ZABLOW MD MSPH

Provider Business Mailing Address
First Line	:	680 KINDERKAMACK RD
Second Line	:	SUITE 300
City	:	ORADELL
State	:	NJ
Zip	:	07649-1600
Country	:	US
Telephone Number	:	201-342-2550
Fax Number	:	201-342-7171

Provider Business Practice Location Address
First Line	:	680 KINDERKAMACK RD
Second Line	:	SUITE 300
City	:	ORADELL
State	:	NJ
Zip	:	07649-1600
Country	:	US
Telephone Number	:	201-342-2550
Fax Number	:	201-342-7171

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	04/09/2014

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