Provider Demographics
NPI:1093268898
Name:ZEZENSKI, BRIDGET STELLA
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:STELLA
Last Name:ZEZENSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BRIDGET
Other - Middle Name:STELLA
Other - Last Name:KROLI-KAISER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:582 PROVINCE LINE RD
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08525-3104
Mailing Address - Country:US
Mailing Address - Phone:609-937-8848
Mailing Address - Fax:
Practice Address - Street 1:582 PROVINCE LINE RD
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08525-3104
Practice Address - Country:US
Practice Address - Phone:609-937-8848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-27
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker