Individual
DR. TRAIAN ADRIAN ZISU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
265 ACKERMAN AVE, RIDGEWOOD, NJ 07450-4200
(201) 447-5630
(201) 447-0903
Mailing address
252 7TH AVE APT 5E, NEW YORK, NY 10001-7331
(212) 842-8443
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA06552100
NJ
2084P0805X
Geriatric Psychiatry Physician
25MA06552100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7305508
—
NJ
Enumeration date
03/19/2007
Last updated
09/24/2010
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