Zimmermann, Gregory S

Zimmermann, Gregory S is an individual health care provider with primary practice located at 322 E Antietam St Suite 106, Hagerstown MD 21740-5794. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Zimmermann, Gregory S can be contacted via phone (301) 739-6144.

Contact Information

Primary practice address
322 E Antietam St Suite 106 Hagerstown MD 21740-5794
Fax: (301) 739-6163
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D56082 Maryland

Profile Details

NPI number 1972601409
LBN Legal business name Zimmermann, Gregory S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Oct 30th, 2014 - about 10 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 1972601409 NPPES
Maryland MEDICAID 079104100

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