Provider Demographics
NPI:1497848238
Name:ZANOTTI CAVAZZONI, SERGIO L (MD)
Entity Type:Individual
Prefix:DR
First Name:SERGIO
Middle Name:L
Last Name:ZANOTTI CAVAZZONI
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1 COOPER PLZ
Mailing Address - Street 2:DORRANCE 360
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1461
Mailing Address - Country:US
Mailing Address - Phone:856-342-2693
Mailing Address - Fax:856-968-8306
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:DORRANCE 372A
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-342-3084
Practice Address - Fax:856-968-7420
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2014-06-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA74649207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3K6063OtherHEALTHNET
NJ2124314000OtherAMERIHEALTH HMO
NJ3056527OtherAETNA US HEALTHCARE
NJ810001023OtherRAILROAD MEDICARE
NJ3529637OtherCIGNA
NJP2798256OtherOXFORD HEALTH PLAN
NJ1440328OtherAMERIHEALTH PPO PABS
NJ35932OtherUNIVERSITY HEALTH PLAN
NJ8920800Medicaid
NJ810001023OtherRAILROAD MEDICARE
NJ8920800Medicaid
NJ802899B67Medicare PIN