Provider Demographics
NPI:1548340672
Name:ZISSMAN, JOYCE R (MD)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:R
Last Name:ZISSMAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:16 ANGELICA CT
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-9420
Mailing Address - Country:US
Mailing Address - Phone:732-438-1049
Mailing Address - Fax:732-438-1123
Practice Address - Street 1:MCCOSH HEALTH CTR
Practice Address - Street 2:WASHINGTON RD.
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08544-0001
Practice Address - Country:US
Practice Address - Phone:609-258-6226
Practice Address - Fax:609-258-1355
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA021153207QA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC55892Medicare UPIN