MEDICARE: ZORIC LENNIE PROSKUROVSKY M.D.

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	207R00000X	Internal Medicine Physician	25MA09789100	NJ

General Provider Information

NPI Number	:	1801138284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZORIC LENNIE PROSKUROVSKY M.D.

Provider Business Mailing Address
First Line	:	912 W BAY AVE
Second Line	:
City	:	BARNEGAT
State	:	NJ
Zip	:	08005-1289
Country	:	US
Telephone Number	:	609-994-5688
Fax Number	:	609-607-4025

Provider Business Practice Location Address
First Line	:	912 W BAY AVE
Second Line	:
City	:	BARNEGAT
State	:	NJ
Zip	:	08005-1289
Country	:	US
Telephone Number	:	609-994-5688
Fax Number	:	609-607-4025

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

Provider Enumeration Date	:	03/22/2013
Last Update Date	:	04/09/2025

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Directions to “ ZORIC LENNIE PROSKUROVSKY M.D.” Practice Location

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