Individual
DR. SALVATORE ZISA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 PATERSON ST, NEW BRUNSWICK, NJ 08901-1962
(732) 235-6153
(732) 235-6131
Mailing address
3998 FAIR RIDGE DR, SUITE 300, FAIRFAX, VA 22033-2907
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08546800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0213594
—
NJ
Enumeration date
09/29/2009
Last updated
03/03/2015
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