Individual
MR. RICHARD IVAN ZIMMERMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
119 SCHOOL ST, WALTHAM, MA 02451-4596
(781) 314-3314
Mailing address
119 SCHOOL ST, WALTHAM, MA 02451-4596
(781) 314-3314
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
238448
MA
Other
Enumeration date
11/03/2008
Last updated
10/13/2011
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