Healthcare Provider Details

I. General information

NPI: 1326164211
Provider Name (Legal Business Name): LINDA G. ZIMAN DPM, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 S 17TH ST
PHILADELPHIA PA
19103-5025
US

IV. Provider business mailing address

117 S 17TH ST
PHILADELPHIA PA
19103-5025
US

V. Phone/Fax

Practice location:
  • Phone: 215-561-3668
  • Fax: 215-563-2301
Mailing address:
  • Phone: 215-561-3668
  • Fax: 215-563-2301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberSC002922L
License Number StatePA

VIII. Authorized Official

Name: LINDA ZIMAN
Title or Position: PHYSICIAN
Credential:
Phone: 215-561-3668