Provider Demographics
NPI:1457560179
Name:ZABLOW, MARK RICHARD (DC)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:RICHARD
Last Name:ZABLOW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 S HARRISON ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-1960
Mailing Address - Country:US
Mailing Address - Phone:973-673-4044
Mailing Address - Fax:973-673-0477
Practice Address - Street 1:280 S HARRISON ST
Practice Address - Street 2:SUITE 401
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-1960
Practice Address - Country:US
Practice Address - Phone:973-673-4044
Practice Address - Fax:973-673-0477
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00166800111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation