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Individual

DR. MICHAEL JEFFREY ZIZMOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2831 MACDONALD AVE, RICHMOND, CA 94804-3008
(510) 236-5340
(510) 236-5340
Mailing address
2831 MACDONALD AVE, RICHMOND, CA 94804-3008
(510) 236-5340
(510) 236-5340

Taxonomy

Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
G50848
CA
208D00000X
General Practice Physician
Primary
G50848
CA

Other

Enumeration date
11/30/2011
Last updated
10/21/2021
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