Provider Demographics
NPI:1265414312
Name:ZIMMERMAN, JOSHUA M (MD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:M
Last Name:ZIMMERMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:205 MAY ST
Mailing Address - Street 2:STE 202
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837-3267
Mailing Address - Country:US
Mailing Address - Phone:908-757-1520
Mailing Address - Fax:908-769-1388
Practice Address - Street 1:205 MAY ST
Practice Address - Street 2:STE 202
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-3267
Practice Address - Country:US
Practice Address - Phone:908-757-1520
Practice Address - Fax:908-769-1388
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2007-07-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06718000207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7552700Medicaid
NJ7552700Medicaid
G35309Medicare UPIN