Individual
ALAN ZUCKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-1611
Mailing address
PO BOX 418283, BOSTON, MA 02241-8283
(703) 558-1544
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10492
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029783200
—
DC
01
—
370017238
MEDICARE RAILROAD
—
05
—
421401300
—
MD
05
—
6705391
—
VA
Enumeration date
07/20/2005
Last updated
03/15/2012
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