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Individual

DAVID JAY ZUCKERMAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9715 MEDICAL CENTER DR, STE. #530, ROCKVILLE, MD 20850-3320
(301) 279-7622
(301) 279-7624
Mailing address
1401 CHURCH ST NW, APT. # 404, WASHINGTON, DC 20005-1970
(202) 986-7313

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0038315
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3126850
MDIPA PROVIDER #
MD
01
3966928
AETNA PROVIDER #
MD
01
K6970001
BLUE SHIELD PROVIDER #
DC
Enumeration date
03/08/2006
Last updated
07/09/2007
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