Provider Demographics
NPI:1982923876
Name:ZUCOSKY, ROSEMARY KAMINSKI (DMD)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:KAMINSKI
Last Name:ZUCOSKY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07660-1710
Mailing Address - Country:US
Mailing Address - Phone:201-641-1111
Mailing Address - Fax:201-641-1112
Practice Address - Street 1:195 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07660-1710
Practice Address - Country:US
Practice Address - Phone:201-641-1111
Practice Address - Fax:201-641-1112
Is Sole Proprietor?:No
Enumeration Date:2010-05-18
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ14041122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist