MEDICARE: DR. HEBA ZIED

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	122300000X	Dentist	63202	CA

General Provider Information

NPI Number	:	1548682768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEBA ZIED

Provider Business Mailing Address
First Line	:	5106 COLUMBIA AVE
Second Line	:
City	:	NORTH BERGEN
State	:	NJ
Zip	:	07047-3021
Country	:	US
Telephone Number	:	201-223-4609
Fax Number	:

Provider Business Practice Location Address
First Line	:	5106 COLUMBIA AVE
Second Line	:
City	:	NORTH BERGEN
State	:	NJ
Zip	:	07047-3021
Country	:	US
Telephone Number	:	201-223-4609
Fax Number	:

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

Provider Enumeration Date	:	01/07/2014
Last Update Date	:	01/08/2014

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Directions to “ DR. HEBA ZIED ” Practice Location

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