Individual
DR. MADELINE ZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
839 AVENUE A, BAYONNE, NJ 07002-1959
(201) 437-0400
(201) 437-6607
Mailing address
4 WESLEY CT, BAYONNE, NJ 07002-1921
(201) 437-0400
(201) 437-6607
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MB02799400
NJ
207QA0505X
Adult Medicine Physician
25MB02799400
NJ
208600000X
Surgery Physician
Primary
25MB02799400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00435800
MEDICARE-PTAN
NJ
Enumeration date
01/25/2007
Last updated
02/25/2013
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