Provider Demographics
NPI:1841304623
Name:ZARETSKY, CRAIG L (MD)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:L
Last Name:ZARETSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1935 ROUTE 70 EAST
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2117
Mailing Address - Country:US
Mailing Address - Phone:856-428-7700
Mailing Address - Fax:856-424-9120
Practice Address - Street 1:200 BOWMAN DR STE E355
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-9643
Practice Address - Country:US
Practice Address - Phone:856-247-7210
Practice Address - Fax:856-247-7511
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08137400208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0124079Medicaid