Provider Demographics
NPI:1780842039
Name:LLOYD I. S. ZBAR, MD, PA
Entity Type:Organization
Organization Name:LLOYD I. S. ZBAR, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:I S
Authorized Official - Last Name:ZBAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-744-2424
Mailing Address - Street 1:200 HIGHLAND AVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:GLEN RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07028-1528
Mailing Address - Country:US
Mailing Address - Phone:973-744-2424
Mailing Address - Fax:973-743-3111
Practice Address - Street 1:200 HIGHLAND AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:GLEN RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07028-1528
Practice Address - Country:US
Practice Address - Phone:973-744-2424
Practice Address - Fax:973-743-3111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA21154207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC53502Medicare UPIN