Individual
MRS. MARYGRACE ZETKULIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 745-8600
(732) 745-1339
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2859
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA67087
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110209779
RAILROAD MEDICARE
NJ
05
—
8447306
—
NJ
Enumeration date
05/11/2006
Last updated
04/01/2019
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