Basic Information
Provider Information
NPI: 1396809430
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZIOBER
FirstName: CHRISTINE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1220
Address2:  
City: PERTH AMBOY
State: NJ
PostalCode: 088621220
CountryCode: US
TelephoneNumber: 7323769333
FaxNumber: 7323245765
Practice Location
Address1: 275 HOBART ST
Address2:  
City: PERTH AMBOY
State: NJ
PostalCode: 088613396
CountryCode: US
TelephoneNumber: 7323769333
FaxNumber: 7323245765
Other Information
ProviderEnumerationDate: 12/21/2006
LastUpdateDate: 03/25/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
176B00000X25ME00027400NJY Other Service ProvidersMidwife 

ID Information
IDTypeStateIssuerDescription
P379752201NJOXFORD #OTHER
286240500001NJAMERIHEALTH #OTHER
3K697401NJHEALTHNETOTHER
109732901NJHORIZON NJ HEALTH #OTHER
31952401NJAMERIGROUP #OTHER
MA880101NJEMPIRE BCBS #OTHER


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