Individual
TERESA N ZIMMERMAN
Active
Individual
TERESA N ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
35-079190
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000204226
ANTHEM
OH
01
—
000000221295
UNISON
OH
01
—
000000526178
ANTHEM
OH
01
—
1021650580001
PA MEDICAID
PA
01
—
2253396
BCMH
—
05
—
2253396
—
OH
01
—
364167
WELLCARE
OH
01
—
4352478
AETNA
OH
01
—
745989
BUCKEYE
OH
Enumeration date
07/20/2006
Last updated
08/18/2011
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