MEDICARE: ROBERT F ZIMMERMAN III 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
1	207RN0300X	Nephrology Physician	MD15106	ME

General Provider Information

NPI Number	:	1972504025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT F ZIMMERMAN III MD

Provider Business Mailing Address
First Line	:	65 CENTER ST
Second Line	:
City	:	YARMOUTH
State	:	ME
Zip	:	04096-7930
Country	:	US
Telephone Number	:	207-420-5358
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 FRANKLIN HEALTH CMNS
Second Line	:
City	:	FARMINGTON
State	:	ME
Zip	:	04938-6144
Country	:	US
Telephone Number	:	207-779-2456
Fax Number	:	207-779-2496

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	02/13/2024

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