Provider Demographics
NPI:1801859418
Name:CHRISTIANA, SHERRY ZAPATA (PHYSICIANS ASSISTANT)
Entity Type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:ZAPATA
Last Name:CHRISTIANA
Suffix:
Gender:F
Credentials:PHYSICIANS ASSISTANT
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Mailing Address - Street 1:PO BOX 13700-3765
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19191-3765
Mailing Address - Country:US
Mailing Address - Phone:610-668-6471
Mailing Address - Fax:610-617-6280
Practice Address - Street 1:718 TEANECK ROAD
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666
Practice Address - Country:US
Practice Address - Phone:201-833-3000
Practice Address - Fax:610-617-6280
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2024-02-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00133200363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q66042Medicare UPIN