Provider Demographics
NPI:1760472385
Name:HARZVI, RON HADAS (DPM)
Entity Type:Individual
Prefix:
First Name:RON
Middle Name:HADAS
Last Name:HARZVI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:RINGWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07456-2020
Mailing Address - Country:US
Mailing Address - Phone:973-962-7775
Mailing Address - Fax:973-962-0046
Practice Address - Street 1:52 SKYLINE DR
Practice Address - Street 2:
Practice Address - City:RINGWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07456-2020
Practice Address - Country:US
Practice Address - Phone:973-962-7775
Practice Address - Fax:973-962-0046
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-25
Last Update Date:2010-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMD01276213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist