Provider Demographics
NPI:1295988541
Name:ZIMMERMAN, ARNOLD STUART (DO)
Entity type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:STUART
Last Name:ZIMMERMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:17 CARBURY RD
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-2542
Mailing Address - Country:US
Mailing Address - Phone:732-695-1781
Mailing Address - Fax:732-493-2529
Practice Address - Street 1:17 CARBURY RD
Practice Address - Street 2:
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-2542
Practice Address - Country:US
Practice Address - Phone:732-695-1781
Practice Address - Fax:732-493-2529
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-30
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB02508000207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ000484686Medicare UPIN