Individual
BELLA KACHKOFF ZUBKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
210 NEW LONDON TPKE, GLASTONBURY, CT 06033-2235
(860) 633-1543
(860) 659-9755
Mailing address
210 NEW LONDON TPKE, GLASTONBURY, CT 06033-2235
(860) 633-1543
(860) 659-9755
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
035174
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010035174CT01
ANTHEM BC/BS
CT
01
—
035174
CONNECTICARE
CT
01
—
290564002
CIGNA
CT
01
—
602454
AETNA
CT
Enumeration date
08/23/2005
Last updated
03/31/2021
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