# JOHN M ZIMMERMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1528036217
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | MA05047300 | NJ | Yes |

## Other

- **Enumeration date:** 03/09/2006
- **Last updated:** 04/28/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0162507 | — | NJ |
| 01 | — | 05D742 | EMPIRE BCBS (30 PROSPECT) | NJ |
| 01 | — | 05D743 | EMPIRE BCBS (20 PROSPECT) | NJ |
| 01 | — | 060066695 | RR MDCR \# | NJ |
| 01 | — | 2140120 | AETNA HMO \# | NJ |
| 01 | — | 2K7886 | HEALTHNET \# | NJ |
| 01 | — | 4346389 | AETNA PPO \# | NJ |
| 01 | — | 614P31 | EMPIRE BCBS (255 LAFAYET) | NJ |
| 01 | — | 8213937 | GHI (PPO) \# | NJ |
| 01 | — | BS503 | OXFORD \# | NJ |