Jeffrey Everett Zanow

Individual provider Active NPI Non-emergency Medical Transport (VAN) · Mickleton, NJ

NPI 1215265772 · NPPES record last updated Nov 20, 2009

Key facts

NPI
1215265772
Entity type
Individual (NPI type 1)
Primary specialty
Non-emergency Medical Transport (VAN) 343900000X
License
H8424001 (NJ)
Practice address
529 Union Rd
Mickleton, NJ 08056-1006
Phone
(856) 304-1197
Fax
(856) 599-0366
NPI assigned
Nov 20, 2009
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
H8424001NJMDNon-emergency Medical Transport (VAN)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X H8424001 NJ Yes

Addresses

Primary practice location

529 Union Rd
Mickleton, NJ 08056-1006

Mailing address

529 Union Rd
Mickleton, NJ 08056-1006
Phone (856) 304-1197

Other providers in Mickleton, NJ

All providers in Mickleton, NJ · Non-emergency Medical Transport (VAN) in New Jersey

Sources for this page

Verify at the official NPI Registry.