Provider Demographics
NPI:1407248594
Name:MOLLAND, ZACHARY TODD (DC)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:TODD
Last Name:MOLLAND
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 1:615 HOPE ROAD BUILDING 5
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-5906
Mailing Address - Country:US
Mailing Address - Phone:732-380-7330
Mailing Address - Fax:732-380-7433
Practice Address - Street 1:615 HOPE ROAD BUILDING 5
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-5906
Practice Address - Country:US
Practice Address - Phone:732-380-7330
Practice Address - Fax:732-380-7433
Is Sole Proprietor?:No
Enumeration Date:2015-02-26
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5049-12111N00000X
NJ38MC00723100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor