Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 19985 | NH |
N | 208200000X | Surgeon | 19985 | NH |
N | 208600000X | Surgeon | 19985 | NH |
NPI | 1700146693 |
---|---|
Provider Name | Asha M Zimmerman |
First Address | Lebanon, NH 03756-0001 |
Second Address | Lebanon, NH 03756-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2012 |
Last Update Date | 17/09/2019 |