Individual
DR. JASON M. ZICHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1255 S CEDAR CREST BLVD, SUITE 3600, ALLENTOWN, PA 18103-6256
(610) 770-1606
(610) 740-0560
Mailing address
1255 S CEDAR CREST BLVD, SUITE 3600, ALLENTOWN, PA 18103-6256
(610) 770-1606
(610) 740-0560
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
25MA07491700
NJ
2085R0202X
Diagnostic Radiology Physician
0101241068
VA
2085R0202X
Diagnostic Radiology Physician
25MA07491700
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
MD433882
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010988900003
—
PA
05
—
3810008997
—
WV
01
—
3995 0099
CAREFIRST
—
01
—
P00425143
MEDICARE PIN
DC
01
—
P00429961
MEDICARE PIN
VA
Enumeration date
12/04/2006
Last updated
11/07/2018
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