Individual
MARC S ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2410-14 S BROAD ST, SUITE 200, PHILADELPHIA, PA 19145
(215) 334-3350
(215) 336-6980
Mailing address
2410-14 S BROAD ST, SUITE 200, PHILADELPHIA, PA 19145
(215) 334-3350
(215) 336-6980
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD018690E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006978160001
—
PA
01
—
0032976
AETNA HMO
—
01
—
0052401000
KEYSTONE EAST HMO
—
Enumeration date
10/27/2005
Last updated
03/19/2008
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