Individual
KAREN P. ZIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
833 CHESTNUT STREET, SUITE 300, PHILADELPHIA, PA 19107-4405
(215) 955-7800
(215) 923-4267
Mailing address
PO BOX 191, PROVIDER ENROLLMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D56990
MD
208000000X
Pediatrics Physician
Primary
MD428886
PA
208D00000X
General Practice Physician
MD428886
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
699236600
—
MD
Enumeration date
06/30/2006
Last updated
10/05/2011
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