Individual
DR. JAY A. ZIMMERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 CONTINENTAL DR, ELIZABETHTOWN, PA 17022-2231
(717) 361-0666
(717) 361-0202
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD439927
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010182875
—
VA
05
—
010186196
—
VA
05
—
1025133490001
—
PA
Enumeration date
07/20/2006
Last updated
03/20/2020
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