Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35.084839 | OH |
Y | 2080A0000X | Adolescent Medicine | 036.149430 | CA |
N | 2080A0000X | Adolescent Medicine | 312011-01 | NY |
N | 2080A0000X | Adolescent Medicine | 35.084839 | OH |
N | 2080A0000X | Adolescent Medicine | DR.0067384 | CO |
N | 2080A0000X | Adolescent Medicine | MD432542 | PA |
N | 2080A0000X | Adolescent Medicine | MD61181970 | WA |
N | 2080A0000X | Adolescent Medicine | T4095 | TX |
NPI | 1083663538 |
---|---|
Provider Name | Michele L Zucker |
First Address | Carlsbad, CA 92013-1747 |
Second Address | Carlsbad, CA 92008-1627 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 04/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2530069 | (05) | OH |