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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184682577 NPPES
Massachusetts MEDICAID 110033314A
Massachusetts Other S400104406

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