Individual
DR. DARRYL ZUCKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510
(203) 688-1010
Mailing address
PO BOX 208042, NEW HAVEN, CT 06520-8042
(203) 785-5253
(203) 785-3024
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2008014593
MO
2085R0202X
Diagnostic Radiology Physician
Primary
63767
CT
2085R0204X
Vascular & Interventional Radiology Physician
2008014593
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063441673
—
MO
Enumeration date
07/03/2006
Last updated
06/28/2019
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