Healthcare Provider Details

I. General information

NPI: 1619266566
Provider Name (Legal Business Name): PAUL ERIC ZIMMERMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2011
Last Update Date: 05/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3643 N ROXBORO ST DUKE REGIONAL HOSPITAL, 3RD FLOOR WATTS BUILDING
DURHAM NC
27704-2702
US

IV. Provider business mailing address

3643 N ROXBORO ST DUKE REGIONAL HOSPITAL, 3RD FLOOR WATTS BUILDING
DURHAM NC
27704-2702
US

V. Phone/Fax

Practice location:
  • Phone: 919-470-8490
  • Fax: 919-470-8555
Mailing address:
  • Phone: 919-470-8490
  • Fax: 919-470-8555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number2014-00377
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: