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Individual

DR. PETER DONALD ZDANKIEWICZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10 MAIN ST S, SOUTHBURY, CT 06488-2260
(888) 338-8356
(888) 366-1189
Mailing address
10 MAIN ST S, SOUTHBURY, CT 06488-2260
(888) 338-8356
(888) 366-1189

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
038476
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001384768
CT
Enumeration date
03/27/2006
Last updated
05/18/2010
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