Doctor Name: | ALBERT W ZIMMERMANN |
NPI Number: | 1912904277 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD028734L |
Business Practice Address: | 912 East Willow Grove Avenue Wyndmoor, PA - 19038 |
Business Phone Number: | 2158361290 |
Business Fax Number: | |
Mailing Address: | 912 East Willow Grove Avenue, WYNDMOOR |
State: | PA |
Postal Code: | 19038 |
Phone Number: | 2158361290 |
Fax Number: | |
NPI Enumeration Date: | 07/01/2005 |
NPI Last Update Date: | 11/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD028734L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |