Provider Demographics
NPI:1275846727
Name:ZAKU, BLEDI (MD)
Entity Type:Individual
Prefix:DR
First Name:BLEDI
Middle Name:
Last Name:ZAKU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 MADISON AVENUE
Mailing Address - Street 2:MID-ATLANTIC SURGICAL ASSOCIATES
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960
Mailing Address - Country:US
Mailing Address - Phone:973-971-7300
Mailing Address - Fax:973-984-7019
Practice Address - Street 1:100 MADISON AVENUE
Practice Address - Street 2:MID-ATLANTIC SURGICAL ASSOCIATES
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960
Practice Address - Country:US
Practice Address - Phone:973-971-7300
Practice Address - Fax:973-984-7019
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2016-11-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09926900208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)