Individual
DR. JEFFREY ALAN ZISSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
75 MAIN ST, MILLBURN, NJ 07041-1367
(973) 467-5567
(973) 467-5639
Mailing address
75 MAIN ST, MILLBURN, NJ 07041-1367
(973) 467-5567
(973) 467-5639
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22D100870200
NJ
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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