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Organization

DR JOEL N. ZABA LTD

Active
Other names
Dr Joel N. Zaba LTD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOEL N ZABA O.D. (OWNER)
(757) 497-9575
Entity
Organization

Contact information

Practice address
281 INDEPENDENCE BLVD, PEMBROKE ONE #105, VIRGINIA BEACH, VA 23462-2986
(757) 497-9575
(757) 497-1292
Mailing address
1232 W LITTLE CREEK RD, # 200, NORFOLK, VA 23505-1952
(757) 489-9656
(757) 423-4903

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
0618000449
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009235531
VA
Enumeration date
07/07/2006
Last updated
08/16/2012
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