Individual
DR. KEN ZUCKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
747 52ND ST, DEPT OF ANESTHESIOLOGY, OAKLAND, CA 94609-1809
(510) 428-3070
(510) 450-5853
Mailing address
4916 OVERTON PLZ, FORT WORTH, TX 76109-4415
(800) 585-0868
(817) 334-0235
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A49619
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A496190
—
CA
Enumeration date
07/27/2006
Last updated
07/08/2007
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