Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 25MA04234200 | NJ |
NPI | 1801919741 |
---|---|
Provider Name | Dr. Daniel Jeffrey Zimmerman |
First Address | Collingswood, NJ 08108-1116 |
Second Address | Sewell, NJ 08080-2237 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2007 |
Last Update Date | 08/07/2007 |