Individual
JERRY ZUCKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5401 OLD YORK RD, KLEIN BUILDING SUITE 331, PHILADELPHIA, PA 19141-3030
(215) 456-6948
(215) 455-1933
Mailing address
101 E OLNEY AVE, 400, PHILADELPHIA, PA 19120
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD045074E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012025930002
—
PA
Enumeration date
03/23/2006
Last updated
10/08/2010
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