| Doctor Name: | DR. GREGORY JAMES ZIMMER |
| NPI Number: | 1174594329 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 01054421A |
| Business Practice Address: | 601 Elmwood Ave Rochester, NY - 146420001 |
| Business Phone Number: | 5853413015 |
| Business Fax Number: | |
| Mailing Address: | 601 Elmwood Ave, Box 655-a ROCHESTER |
| State: | NY |
| Postal Code: | 146428655 |
| Phone Number: | 5853413015 |
| Fax Number: | |
| NPI Enumeration Date: | 01/27/2006 |
| NPI Last Update Date: | 01/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01054421A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |