Individual
MARK I. ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 LINCOLN HWY STE 301, EDISON, NJ 08820-3904
(732) 549-7380
Mailing address
2 LINCOLN HWY STE 301, EDISON, NJ 08820-3904
(732) 549-7380
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
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