Zuckerman, Jerry

Zuckerman, Jerry is an sole proprietor health care provider with primary practice located at 5401 Old York Rd Klein Building Suite 331, Philadelphia PA 19141-3030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Zuckerman, Jerry can be contacted via phone (215) 456-6948.

Contact Information

Primary practice address
5401 Old York Rd Klein Building Suite 331 Philadelphia PA 19141-3030
Phone: (215) 456-6948
Fax: (215) 455-1933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD045074E Pennsylvania

Profile Details

NPI number 1477512788
LBN Legal business name Zuckerman, Jerry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Oct 8th, 2010 - about 14 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 1477512788 NPPES
Pennsylvania MEDICAID 0012025930002

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