Individual
DR. DONALD ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1075 CENTRAL AVE, CLARK, NJ 07066-1116
(732) 574-1660
(732) 574-1660
Mailing address
1075 CENTRAL AVE, CLARK, NJ 07066-1116
(732) 574-1660
(732) 574-1660
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
22D100777700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6756204
—
NJ
Enumeration date
03/12/2009
Last updated
03/12/2009
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