Individual
RICHARD ZUWALLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
114 WOODLAND ST, PULMONARY, HARTFORD, CT 06105-1208
(860) 714-4045
(860) 714-8035
Mailing address
1000 ASYLUM AVE, SUITE 2109A, HARTFORD, CT 06105-1770
(860) 714-6581
(860) 714-8311
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
016718
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001167180
—
CT
Enumeration date
08/15/2005
Last updated
06/23/2021
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