Provider Demographics
NPI:1174579676
Name:DRS ZIGMAN AND SCHWARTZ
Entity type:Organization
Organization Name:DRS ZIGMAN AND SCHWARTZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:732-842-9177
Mailing Address - Street 1:370 HIGHWAY 35
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-5922
Mailing Address - Country:US
Mailing Address - Phone:732-842-9177
Mailing Address - Fax:732-842-3970
Practice Address - Street 1:370 HIGHWAY 35
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-5922
Practice Address - Country:US
Practice Address - Phone:732-842-9177
Practice Address - Fax:732-842-3970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1023403Medicaid
NJ1023403Medicaid