Provider Demographics
NPI:1922076645
Name:ZOBEL, GEORGE J (DO)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:J
Last Name:ZOBEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1119 RARITAN RD
Mailing Address - Street 2:
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-1315
Mailing Address - Country:US
Mailing Address - Phone:732-396-1881
Mailing Address - Fax:732-396-3262
Practice Address - Street 1:1119 RARITAN RD
Practice Address - Street 2:
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-1315
Practice Address - Country:US
Practice Address - Phone:732-396-1881
Practice Address - Fax:732-396-3262
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB28840207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0986305Medicaid
NJ0986305Medicaid
075690P6KMedicare ID - Type Unspecified