Individual
ADAM ZUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
909 WALNUT ST, PHILADELPHIA, PA 19107-5211
(215) 995-6215
Mailing address
2101 MARKET ST UNIT 2905, PHILADELPHIA, PA 19103-1366
(216) 832-8946
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS043628
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/09/2021
Last updated
07/05/2022
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