| Doctor Name: | DR. GARY BRUCE ZUCKERMAN |
| NPI Number: | 1174672463 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MA60083 |
| Business Practice Address: | 3084 Highway 27 Suite 6 Kendall Park, NJ - 08824 |
| Business Phone Number: | 7328210595 |
| Business Fax Number: | 7328211174 |
| Mailing Address: | 32 Randall Rd, PRINCETON |
| State: | NJ |
| Postal Code: | 085403610 |
| Phone Number: | 6094301207 |
| Fax Number: | |
| NPI Enumeration Date: | 01/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | MA60083 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |