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NPI Code Detail

MEDICARE: DR. JOSEPH ZUCKERMAN MD

MEDICARE: DR. JOSEPH ZUCKERMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME49203FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750498192
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH ZUCKERMAN MD
Provider Business Mailing Address
First Line : PO BOX 9671
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32120-9671
Country : US
Telephone Number : 386-676-7130
Fax Number : 386-676-7125
Provider Business Practice Location Address
First Line : 1340 RIDGEWOOD AVE
Second Line :
City : HOLLY HILL
State : FL
Zip : 32117-2320
Country : US
Telephone Number : 386-615-4087
Fax Number : 386-615-4051
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2006
Last Update Date : 10/30/2013

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Directions to “ DR. JOSEPH ZUCKERMAN MD” Practice Location

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