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Individual

DR. STANLEY S. ZIMMELMAN

Active
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Individual

DR. STANLEY S. ZIMMELMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
012031
OH
2085R0202X
Diagnostic Radiology Physician
DO25896
OR
2085R0202X
Diagnostic Radiology Physician
Primary
OS6377
FL
2085R0202X
Diagnostic Radiology Physician
OS8012L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
054047100
MD
01
1619012
GATEWAY
PA
01
2708793
HIGHMARK BLUE SHIELD
PA
01
419772
UPMC
PA
Enumeration date
07/24/2006
Last updated
03/07/2023
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