Individual
MARK I. ZIMMERMAN
Active
Individual
MARK I. ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA05755500
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MA05755500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222233003
HORIZON BC
NJ
01
—
4277174
AETNA INS.
NJ
05
—
5176506
—
NJ
Enumeration date
08/10/2005
Last updated
08/02/2023
Update your record
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