Individual
MITCHELL EVAN ZUCKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
147 GETTYS ST, GETTYSBURG, PA 17325-2534
(717) 337-4168
(717) 337-4142
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD041460L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001214253
—
PA
01
—
0192512000
AMERIHEALTH 65 PA
PA
01
—
027363
HIGHMARK BLUE SHIELD
PA
01
—
1529734
GATEWAY
PA
01
—
20046655
AMERIHEALTH MERCY
PA
01
—
41572
GEISINGER
PA
01
—
50067116
CAPITAL BLUE CROSS
PA
01
—
P00236480
RAILROAD MEDICARE
PA
Enumeration date
11/18/2005
Last updated
01/30/2025
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