Provider Demographics
NPI:1447232582
Name:MARZA, LIZETT A (MD)
Entity Type:Individual
Prefix:
First Name:LIZETT
Middle Name:A
Last Name:MARZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 8519
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-8519
Mailing Address - Country:US
Mailing Address - Phone:732-460-9840
Mailing Address - Fax:732-460-9848
Practice Address - Street 1:175 PATTERSON AVE
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4141
Practice Address - Country:US
Practice Address - Phone:732-747-4600
Practice Address - Fax:732-219-1968
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA7136900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
2466575OtherAETNA HEALTH HMO
NJ7497073OtherCIGNA HEALTHCARE OF NJ
NJ8366306Medicaid
1K9479OtherHEALTH NET OF THE NE INC
110230111OtherMEDICARE RAILROAD
NY015AN1OtherEMPIRE BC BS OF NY
2466575OtherAETNA HEALTH HMO
110230111OtherMEDICARE RAILROAD