Provider Demographics
NPI:1881411189
Name:ZEREN, NAZENDE
Entity type:Individual
Prefix:DR
First Name:NAZENDE
Middle Name:
Last Name:ZEREN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:639 CENTRE ST
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-2044
Mailing Address - Country:US
Mailing Address - Phone:862-402-9488
Mailing Address - Fax:
Practice Address - Street 1:639 CENTRE ST
Practice Address - Street 2:
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-2044
Practice Address - Country:US
Practice Address - Phone:862-402-9488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-26
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No126900000XDental ProvidersDental Laboratory Technician