Provider Demographics
NPI:1962285874
Name:DR Z INTERNAL MEDICINE AND DISEASE PREVENTION LLC
Entity type:Organization
Organization Name:DR Z INTERNAL MEDICINE AND DISEASE PREVENTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:YARAZAVI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-773-2037
Mailing Address - Street 1:784 CHIMNEY ROCK RD STE G
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08836-2272
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:784 CHIMNEY ROCK RD STE G
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08836-2272
Practice Address - Country:US
Practice Address - Phone:973-773-2037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-15
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty