Provider Demographics
NPI:1285660290
Name:ZAPANTA, VICENTE T (MD)
Entity Type:Individual
Prefix:
First Name:VICENTE
Middle Name:T
Last Name:ZAPANTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 ERNSTON RD
Mailing Address - Street 2:
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-1938
Mailing Address - Country:US
Mailing Address - Phone:732-727-5114
Mailing Address - Fax:732-721-7221
Practice Address - Street 1:340 ERNSTON RD
Practice Address - Street 2:
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859-1938
Practice Address - Country:US
Practice Address - Phone:732-727-5114
Practice Address - Fax:732-721-7221
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03279700207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJCO8996Medicare UPIN
479577BAYMedicare PIN