Individual
ROSS R ZIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39TH AND MARKET ST, 4 PHI, PHILADELPHIA, PA 19104
(215) 662-9189
(215) 243-4612
Mailing address
3624 MARKET ST, STE 560W UPHS OFFICE OF MEDICAL AFFAIRS, PHILADELPHIA, PA 19104
(215) 662-2286
(215) 243-4612
Taxonomy
Speciality
Code
Description
License number
State
207UN0901X
Nuclear Cardiology Physician
Primary
MD045305L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014152510006
—
PA
Enumeration date
07/07/2006
Last updated
08/29/2012
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