Individual
STEPHEN DAVID ZUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-6389
Mailing address
25 CAROLINE PARK, WABAN, MA 02468-1101
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
57448
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110049772A
—
MA
05
—
64960685
—
IN
05
—
64960685
—
KY
Enumeration date
05/04/2006
Last updated
04/28/2021
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