Provider Demographics
NPI:1609870674
Name:ZUCKERMAN, DEBORAH E (MD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:E
Last Name:ZUCKERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 CAMBRIDGE STREET
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803
Mailing Address - Country:US
Mailing Address - Phone:781-272-4944
Mailing Address - Fax:781-272-8756
Practice Address - Street 1:172 CAMBRIDGE STREET
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803
Practice Address - Country:US
Practice Address - Phone:781-272-4944
Practice Address - Fax:781-272-8756
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA55559207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZUJ05750OtherEMPIRE BCBS
18826OtherCIGNA HEALTHSOURCE
HARVARD COMM HEALTHOther15319
043070848015OtherBCBS
MA3013651Medicaid
ZUJ05750OtherBLUE SHIELD
0800239OtherUNITED HEALTHCARE
0025624OtherNEIGHBORHOOD HEALTH PLAN
CE5062OtherRAILROAD MEDICARE
043070848015OtherBCBS
0800239OtherUNITED HEALTHCARE