Provider Demographics
NPI:1023698693
Name:ZUCKER, RUBY (MD)
Entity type:Individual
Prefix:DR
First Name:RUBY
Middle Name:
Last Name:ZUCKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 BEAR TAVERN RD STE 309
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08628-1018
Mailing Address - Country:US
Mailing Address - Phone:609-656-8844
Mailing Address - Fax:
Practice Address - Street 1:850 BEAR TAVERN RD STE 309
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08628-1018
Practice Address - Country:US
Practice Address - Phone:609-656-8844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-08
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD484027207R00000X
NJ25MA12241700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine