Provider Demographics
NPI:1871557199
Name:QUIJANO, ZEUS HITO T SR (MD)
Entity type:Individual
Prefix:DR
First Name:ZEUS HITO
Middle Name:T
Last Name:QUIJANO
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 ANTHONY RD
Mailing Address - Street 2:
Mailing Address - City:GLEN GARDNER
Mailing Address - State:NJ
Mailing Address - Zip Code:08826
Mailing Address - Country:US
Mailing Address - Phone:908-574-5039
Mailing Address - Fax:
Practice Address - Street 1:200 SANATORIUM RD
Practice Address - Street 2:
Practice Address - City:GLEN GARDNER
Practice Address - State:NJ
Practice Address - Zip Code:08826
Practice Address - Country:US
Practice Address - Phone:908-537-2141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA38482208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ716783C2FOtherMEDICARE BILLING NO.
NJ716783C2FOtherMEDICARE BILLING NO.