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NPI Code Detail

MEDICARE: SINA ZAIM, M.D. LLC

MEDICARE: SINA ZAIM, M.D. LLC
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
1174400000XSpecialist25MA07284700NJ

Other Identifiers

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

General Provider Information

NPI Number : 1730113994
Entity Type Code : Organization
Provider Name (Legal Business Name) : SINA ZAIM, M.D. LLC
Provider Business Mailing Address
First Line : 255 W SPRING VALLEY AVE
Second Line : SUITE 205
City : MAYWOOD
State : NJ
Zip : 07607-1445
Country : US
Telephone Number : 201-546-8746
Fax Number : 800-549-5893
Provider Business Practice Location Address
First Line : 255 W SPRING VALLEY AVE
Second Line : SUITE 205
City : MAYWOOD
State : NJ
Zip : 07607-1445
Country : US
Telephone Number : 201-546-8746
Fax Number : 800-549-5893
Authorized Official
Title or Position : PRESIDENT
Name : SINA ZAIM
Credential : M.D.
Telephone Number : 201-546-8746
Provider Enumeration Date : 07/11/2006
Last Update Date : 10/14/2013

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