Provider Demographics
NPI:1932120755
Name:ZIMPFER, MARK J (MD)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:J
Last Name:ZIMPFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:491 DERMODY RD
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05201-9799
Mailing Address - Country:US
Mailing Address - Phone:802-379-8899
Mailing Address - Fax:802-440-4096
Practice Address - Street 1:1563 WALLOOMSAC RD
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:VT
Practice Address - Zip Code:05201-9707
Practice Address - Country:US
Practice Address - Phone:802-227-4037
Practice Address - Fax:802-440-4096
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VT042-0008574207P00000X
VT04200085742083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0VN0517Medicaid
VT0VN0517Medicaid
F43623Medicare UPIN