Individual
EDIE E ZUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1860 PENNSYLVANIA AVE, SUITE 320, FAIRFIELD, CA 94533-3590
(707) 646-4370
(707) 646-4904
Mailing address
1860 PENNSYLVANIA AVE, SUITE 320, FAIRFIELD, CA 94533-3590
(707) 646-4370
(707) 646-4904
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G64158
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G641580
—
CA
Enumeration date
09/22/2006
Last updated
01/15/2016
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