Provider Demographics
NPI:1033193974
Name:ZOSCHE, DARREN D (DC)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:D
Last Name:ZOSCHE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 MENDHAM RD E
Mailing Address - Street 2:
Mailing Address - City:MENDHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07945-3012
Mailing Address - Country:US
Mailing Address - Phone:973-543-4001
Mailing Address - Fax:973-543-0481
Practice Address - Street 1:160 MENDHAM RD E
Practice Address - Street 2:
Practice Address - City:MENDHAM
Practice Address - State:NJ
Practice Address - Zip Code:07945-3012
Practice Address - Country:US
Practice Address - Phone:973-543-4001
Practice Address - Fax:973-543-0481
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-05
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC02911111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ476599Medicare ID - Type Unspecified
NJU01549Medicare UPIN