Provider Demographics
NPI:1972831865
Name:ZOU, DONNA
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:ZOU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DONGYAN
Other - Middle Name:
Other - Last Name:ZOU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:136 TANYA CIR
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-7913
Mailing Address - Country:US
Mailing Address - Phone:732-546-4376
Mailing Address - Fax:
Practice Address - Street 1:1806 ROUTE 35 STE 211
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755-2759
Practice Address - Country:US
Practice Address - Phone:732-531-1122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-03
Last Update Date:2020-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00069400171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MZ00069400OtherLICENSE