Individual
DR. TRELAWNY ZIMMERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8001 FORBES PL STE 103, SPRINGFIELD, VA 22151-2205
(704) 824-3200
Mailing address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0102207227
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
0102207227
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2016
Last updated
05/23/2022
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