Provider Demographics
NPI:1427436674
Name:ZOMA, JUSTINO M (MD)
Entity type:Individual
Prefix:DR
First Name:JUSTINO
Middle Name:M
Last Name:ZOMA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1135 W UNIVERSITY DR STE 355
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307-1871
Mailing Address - Country:US
Mailing Address - Phone:248-844-6030
Mailing Address - Fax:248-652-5726
Practice Address - Street 1:1135 W UNIVERSITY DR STE 355
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-1871
Practice Address - Country:US
Practice Address - Phone:248-844-6030
Practice Address - Fax:248-652-5726
Is Sole Proprietor?:No
Enumeration Date:2015-05-08
Last Update Date:2021-12-09
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Provider Licenses
StateLicense IDTaxonomies
MI4301107018208000000X, 2080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics