Healthcare Provider Details

I. General information

NPI: 1609870674
Provider Name (Legal Business Name): DEBORAH E ZUCKERMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2005
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

172 CAMBRIDGE STREET
BURLINGTON MA
01803
US

IV. Provider business mailing address

172 CAMBRIDGE STREET
BURLINGTON MA
01803
US

V. Phone/Fax

Practice location:
  • Phone: 781-272-4944
  • Fax: 781-272-8756
Mailing address:
  • Phone: 617-202-2020
  • Fax: 617-734-3264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number55559
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: