# DR. JACK MATTHEW ZUCKERMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508093428
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 0101248101 | VA | — |
| 208800000X | Urology Physician | 137309 | CA | — |
| 208800000X | Urology Physician | 2016-02247 | NC | — |
| 208800000X | Urology Physician | 4301503904 | MI | Yes |

## Other

- **Enumeration date:** 06/18/2009
- **Last updated:** 02/05/2024