Individual
MATTHEW L ZIZMOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1244 BOYLSTON ST, SUITE 205, CHESTNUT HILL, MA 02467-2116
(617) 738-4788
Mailing address
1244 BOYLSTON ST, SUITE 205, CHESTNUT HILL, MA 02467-2116
(617) 738-4788
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
13781
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X05193
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/14/2008
Last updated
06/30/2014
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