Zimmerman, Mark I.
Zimmerman, Mark I. is an sole proprietor health care provider with primary practice located at 2 Lincoln Hwy Ste 301 , Edison NJ 08820-3904. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Zimmerman, Mark I. can be contacted via phone (732) 549-7380.Contact Information
Primary practice address
2 Lincoln Hwy Ste 301
Edison NJ 08820-3904
Phone: (732) 549-7380
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25MA05755500 | New Jersey |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 25MA05755500 | New Jersey |
Profile Details
| NPI number | 1447251509 |
|---|---|
| LBN Legal business name | Zimmerman, Mark I. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Aug 2nd, 2023 - about last year |
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 | 1447251509 | NPPES |
| New Jersey | Other | 222233003 | HORIZON BC |
| New Jersey | MEDICAID | 5176506 | HORIZON BC |
| New Jersey | Other | 4277174 | HORIZON BC |
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