Individual
SUSAN ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
331 OAK MANOR DR, SUITE 102, GLEN BURNIE, MD 21061-5508
(410) 266-2711
(410) 269-1149
Mailing address
2002 MEDICAL PKWY, SUITE 430, ANNAPOLIS, MD 21401-3046
(410) 266-2711
(410) 269-1149
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
D40619
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
313437
MAMSI HEALTH PLANS
MD
01
—
4223508
AETNA
MD
01
—
52137201
BLUE SHIELD MD
MD
01
—
C4750002
BLUE SHIELD DC
DC
Enumeration date
10/21/2005
Last updated
01/24/2008
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