Provider Demographics
NPI:1508046533
Name:WILLIAM M. ZURICH, JR., M.D.
Entity Type:Organization
Organization Name:WILLIAM M. ZURICH, JR., M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:ZURICH
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:732-240-4455
Mailing Address - Street 1:900 ROUTE 70
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-5940
Mailing Address - Country:US
Mailing Address - Phone:732-240-4455
Mailing Address - Fax:732-240-7259
Practice Address - Street 1:900 ROUTE 70
Practice Address - Street 2:SUITE 2B
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5940
Practice Address - Country:US
Practice Address - Phone:732-240-4455
Practice Address - Fax:732-240-7259
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WILLIAM M. ZURICH, JR., M.D.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-07
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA0325592085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJDO7224Medicare UPIN