Provider Demographics
NPI:1023162054
Name:SOBEL ZELL ORTHOPAEDIC ASSOCIATES
Entity type:Organization
Organization Name:SOBEL ZELL ORTHOPAEDIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:ZELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-596-0555
Mailing Address - Street 1:525 ROUTE 73 S
Mailing Address - Street 2:SUITE 303
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-9642
Mailing Address - Country:US
Mailing Address - Phone:856-596-0555
Mailing Address - Fax:856-596-7658
Practice Address - Street 1:525 ROUTE 73 S
Practice Address - Street 2:SUITE 303
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-9642
Practice Address - Country:US
Practice Address - Phone:856-596-0555
Practice Address - Fax:856-596-7658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7078005Medicaid
NJ7078005Medicaid