1053699512 NPI number — DR. CHRISTIAN VICTOR ZALAI M.D.C.M.

Table of content: DR. CHRISTIAN VICTOR ZALAI M.D.C.M. (NPI 1053699512)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053699512 NPI number — DR. CHRISTIAN VICTOR ZALAI M.D.C.M.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZALAI
Provider First Name:
CHRISTIAN
Provider Middle Name:
VICTOR
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.C.M.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053699512
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/05/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 HOLIDAY ST. SUITE 115
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
POINTE-CLAIRE
Provider Business Mailing Address State Name:
QUEBEC
Provider Business Mailing Address Postal Code:
H9R5N3
Provider Business Mailing Address Country Code:
CA
Provider Business Mailing Address Telephone Number:
514-459-3199
Provider Business Mailing Address Fax Number:
514-459-3430

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
955 BOUL. ST-JEAN, SUITE 203
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
POINTE-CLAIRE
Provider Business Practice Location Address State Name:
QUEBEC
Provider Business Practice Location Address Postal Code:
H9R5N3
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
514-364-3636
Provider Business Practice Location Address Fax Number:
514-459-3777
Provider Enumeration Date:
08/01/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208C00000X , with the licence number:  LP02147 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)