Provider Demographics
NPI:1396717260
Name:ZAWID, JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:ZAWID
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 1:310 NEW JERSEY AVE
Mailing Address - Street 2:ABSECON FAMILY PRACTICE
Mailing Address - City:ABSECON
Mailing Address - State:NJ
Mailing Address - Zip Code:08201
Mailing Address - Country:US
Mailing Address - Phone:609-646-7131
Mailing Address - Fax:609-646-7161
Practice Address - Street 1:310 NEW JERSEY AVE
Practice Address - Street 2:ABSECON FAMILY PRACTICE
Practice Address - City:ABSECON
Practice Address - State:NJ
Practice Address - Zip Code:08201
Practice Address - Country:US
Practice Address - Phone:609-646-7131
Practice Address - Fax:609-646-7161
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-06
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA26117207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C53700Medicare UPIN
ZA171274Medicare ID - Type Unspecified