Jeffrey Alan Zissu in Millburn - Periodontics

Jeffrey Alan Zissu - NPI 1124042528

Jeffrey Alan Zissu is a Periodontics in Millburn, New Jersey. Jeffrey Alan Zissu practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jeffrey Alan Zissu is 1124042528. The last update date is 2007-07-08.

Jeffrey Alan Zissu's current location address is 75 Main St, Millburn, New Jersey. You can contact this provider via phone number 9734675567 and fax number 9734675639. The mailing address for Jeffrey Alan Zissu is 75 Main St, Millburn, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Alan Zissu
Address 75 Main St, Millburn, New Jersey
Phone Number 9734675567
Fax Number 9734675639
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1124042528
Provider Enumeration Date 2006-07-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 75 Main St
City Millburn
State New Jersey (NJ)
Post Code 70411367
Phone Number 9734675567
Fax Number 9734675639

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 22D100870200
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Jeffrey Alan Zissu

What is the unique identifier code issued to Jeffrey Alan Zissu by the Centers for Medicare & Medicaid Services (CMS)?

The Jeffrey Alan Zissu has been assigned the NPI (National Provider Identifier) 1124042528. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Jeffrey Alan Zissu is geographically located?

The Jeffrey Alan Zissu is physically situated at the following location: 75 Main St, Millburn, NJ, 70411367.

What is Jeffrey Alan Zissu's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jeffrey Alan Zissu is Periodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0300X.

On what date did the Jeffrey Alan Zissu receive the assignment of its 1124042528 from the Centers for Medicare & Medicaid Services?

The Jeffrey Alan Zissu was issued its 1124042528 by the Centers for Medicare & Medicaid Services on 2006-07-27.

As of what date was the information regarding Jeffrey Alan Zissu, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jeffrey Alan Zissu, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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