Zimmerman, Andrew W
Zimmerman, Andrew W is an individual health care provider with primary practice located at 55 Lake Ave N Pediatric Neurology, Worcester MA 01655-0002. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities is his primary health care specialty. Zimmerman, Andrew W can be contacted via phone (774) 442-5695.Contact Information
Primary practice address
55 Lake Ave N Pediatric Neurology
Worcester MA 01655-0002
Phone: (774) 442-5695
Fax: (508) 856-4287
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 216753 | Massachusetts |
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | 216753 | Massachusetts |
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 216753 | Massachusetts |
Profile Details
NPI number | 1184682577 |
---|---|
LBN Legal business name | Zimmerman, Andrew W |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 3rd, 2006 |
Last updated | May 25th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184682577 | NPPES |
Massachusetts | MEDICAID | 110033314A | |
Massachusetts | Other | S400104406 |
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