Healthcare Provider Details

I. General information

NPI: 1194887760
Provider Name (Legal Business Name): JAMES ZUCHERMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 05/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SHRADER ST
SAN FRANCISCO CA
94117-1016
US

IV. Provider business mailing address

1 SHRADER ST
SAN FRANCISCO CA
94117-1016
US

V. Phone/Fax

Practice location:
  • Phone: 415-750-5835
  • Fax: 415-750-8103
Mailing address:
  • Phone: 415-750-5835
  • Fax: 415-750-8103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberC36687
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: