Provider Demographics
NPI:1477500528
Name:ZABLOW, ANDREW IRA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:IRA
Last Name:ZABLOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 912
Mailing Address - Street 2:
Mailing Address - City:WHIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07981-0912
Mailing Address - Country:US
Mailing Address - Phone:973-206-8282
Mailing Address - Fax:973-947-9064
Practice Address - Street 1:16 EDEN LN
Practice Address - Street 2:
Practice Address - City:WHIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07981-1402
Practice Address - Country:US
Practice Address - Phone:973-206-8282
Practice Address - Fax:973-947-9064
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA426422085R0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ958400Y66Medicare PIN
NJF56690Medicare UPIN