Basic Information
| Provider Information | |||||||||
| NPI: | 1275854978 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ZENITH PHYSICIANS, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 205 MORRIS TPKE | ||||||||
| Address2: | |||||||||
| City: | RANDOLPH | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 078692815 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 651 WILLOW GROVE ST | ||||||||
| Address2: | |||||||||
| City: | HACKETTSTOWN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 078401799 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9088525100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/16/2010 | ||||||||
| LastUpdateDate: | 06/16/2010 | ||||||||
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| AuthorizedOfficialLastName: | LYNCH | ||||||||
| AuthorizedOfficialFirstName: | BARRINGTON | ||||||||
| AuthorizedOfficialMiddleName: | BERISFORD | ||||||||
| AuthorizedOfficialTitleorPosition: | CHIEF EXEXUTIVE OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 9739332239 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | ZENITH PHYSICIANS, LLC | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | 25MA08095200 | NJ | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.