Provider Demographics
NPI:1013975515
Name:ZAPANTA, REX A (MD)
Entity Type:Individual
Prefix:DR
First Name:REX
Middle Name:A
Last Name:ZAPANTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 BENNETTS MILLS RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-2225
Mailing Address - Country:US
Mailing Address - Phone:732-364-6333
Mailing Address - Fax:732-364-4160
Practice Address - Street 1:1021 BENNETTS MILLS RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-2225
Practice Address - Country:US
Practice Address - Phone:732-364-6333
Practice Address - Fax:732-364-4160
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA41288174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist