Provider Demographics
NPI:1265512610
Name:ZAMAN AND ZAMAN PC
Entity type:Organization
Organization Name:ZAMAN AND ZAMAN PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUSUF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-777-2212
Mailing Address - Street 1:404 BLANCH AVE
Mailing Address - Street 2:
Mailing Address - City:CLOSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07624-1403
Mailing Address - Country:US
Mailing Address - Phone:973-777-2212
Mailing Address - Fax:973-777-0469
Practice Address - Street 1:1035 US HIGHWAY 46
Practice Address - Street 2:SUITE 202 B
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2468
Practice Address - Country:US
Practice Address - Phone:973-777-2212
Practice Address - Fax:973-777-0469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05981500207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG85280Medicare UPIN
022448Medicare PIN