MEDICARE: STEVEN J ZUCKERMAN MD INC

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	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023331253
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN J ZUCKERMAN MD INC

Provider Business Mailing Address
First Line	:	7922 SUMMA AVE
Second Line	:	SUITE A4
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-3475
Country	:	US
Telephone Number	:	225-341-8311
Fax Number	:

Provider Business Practice Location Address
First Line	:	7922 SUMMA AVE
Second Line	:	SUITE A4
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-3475
Country	:	US
Telephone Number	:	225-341-8311
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STEVEN J ZUCKERMAN
Credential	:	MD
Telephone Number	:	225-341-8311

Provider Enumeration Date	:	03/02/2010
Last Update Date	:	03/02/2010

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