Provider Demographics
NPI:1477022366
Name:GUBITOSI, ZACHARY D (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:D
Last Name:GUBITOSI
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:BRADLEY BEACH
Mailing Address - State:NJ
Mailing Address - Zip Code:07720-1250
Mailing Address - Country:US
Mailing Address - Phone:908-448-9434
Mailing Address - Fax:
Practice Address - Street 1:615 4TH AVE
Practice Address - Street 2:
Practice Address - City:BRADLEY BEACH
Practice Address - State:NJ
Practice Address - Zip Code:07720-1250
Practice Address - Country:US
Practice Address - Phone:908-448-9434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-20
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist