Individual
DR. ELEFTHERIOS ZISIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 HATHAWAY LN, ESSEX FELLS, NJ 07021-1304
(973) 403-8262
(973) 403-8262
Mailing address
55 HATHAWAY LN, ESSEX FELLS, NJ 07021-1304
(973) 403-8262
(973) 403-8262
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MA36053
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017008
GHI
NJ
01
—
090D70100
BLUE CROSS
NY
01
—
466355
CIGNA
NJ
01
—
ES541
OXFORD
NJ
Enumeration date
08/14/2006
Last updated
07/08/2007
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