Provider Demographics
NPI:1760806590
Name:HATIDZA ZUNIC M.D., LLC
Entity Type:Organization
Organization Name:HATIDZA ZUNIC M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HATIDZA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUNIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-536-9906
Mailing Address - Street 1:710 TENNENT RD STE 103
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-3149
Mailing Address - Country:US
Mailing Address - Phone:732-536-9906
Mailing Address - Fax:732-536-9907
Practice Address - Street 1:710 TENNENT RD STE 103
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-3149
Practice Address - Country:US
Practice Address - Phone:732-536-9906
Practice Address - Fax:732-536-9907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-14
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06934700208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty