Provider Demographics
NPI:1437254646
Name:ZAMARRA, ANTHONY ROBERT (DMD)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:ROBERT
Last Name:ZAMARRA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 PHILLIP LN
Mailing Address - Street 2:
Mailing Address - City:WATCHUNG
Mailing Address - State:NJ
Mailing Address - Zip Code:07069-5423
Mailing Address - Country:US
Mailing Address - Phone:908-273-2732
Mailing Address - Fax:908-598-0797
Practice Address - Street 1:500 PHILLIP LN
Practice Address - Street 2:
Practice Address - City:WATCHUNG
Practice Address - State:NJ
Practice Address - Zip Code:07069-5423
Practice Address - Country:US
Practice Address - Phone:908-273-2732
Practice Address - Fax:908-598-0797
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI21187122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist