Provider Demographics
NPI:1659535433
Name:ZOZZARO, MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:ZOZZARO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 ROSELAND AVE
Mailing Address - Street 2:UNIT 28
Mailing Address - City:CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-5957
Mailing Address - Country:US
Mailing Address - Phone:973-287-6167
Mailing Address - Fax:
Practice Address - Street 1:47 ORIENT WAY
Practice Address - Street 2:UNIT 28
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-2082
Practice Address - Country:US
Practice Address - Phone:201-935-5508
Practice Address - Fax:201-465-6088
Is Sole Proprietor?:No
Enumeration Date:2008-07-11
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08559600207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology