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Individual

DR. STEPHEN BRADLEY ZIVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
81 OVERBROOK RD, MADISON, CT 06443-1934
(312) 339-2022
Mailing address
81 OVERBROOK RD, MADISON, CT 06443-1934
(312) 339-2022

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD428416
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101572078
AMERICHOICE OF PA
PA
05
101572078
PA
01
1892659
HIGHMARK BLUE SHIELD
PA
01
231955165
AETNA
PA
01
2757678000
IBC
PA
01
30031939
KEYSTONE MERCY
PA
01
9436362
PHCS
PA
01
MD428416
HEALTH PARTNERS
PA
01
PA7584
HEALTH NET
PA
Enumeration date
05/03/2006
Last updated
03/13/2009
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