Thomas Frederick Zimmerman PHYSICIAN ASSISTANT

NPI 1245549393 - Physician Assistant - 363AM0700X

NPI Details
NPI 1245549393
Gender Male
Enumeration Date 10/06/2010
Last Updated 10/06/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
355 BARD AVE
STATEN ISLAND NY, 10310-1664, US
Phone (718) 818-1234
Fax
Business Location
149 BEACH 118TH ST
THIRD FLOOR
ROCKAWAY PARK NY, 11694-2034, US
Phone (917) 375-4643
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State New York
License Number 009704
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According to our database, Mr. Thomas Frederick Zimmerman PHYSICIAN ASSISTANT NPI is 1245549393, taxonomy code is 363AM0700X and license number is 009704, license state is located at New York. Thomas Frederick Zimmerman PHYSICIAN ASSISTANT physically located at 355 Bard Ave, Staten Island NY, 10310-1664. NPI Number Thomas Frederick Zimmerman PHYSICIAN ASSISTANT has the Individual type.

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1245549393 NPI number is provided on an as is basis without warranty of any kind. 1245549393 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Frederick Zimmerman PHYSICIAN ASSISTANT are for informational purposes only.