Individual
ZACHARY MAURICE FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
445 S MAIN ST, WEST HARTFORD, CT 06110-1646
(860) 561-7111
(860) 561-7272
Mailing address
445 S MAIN ST, WEST HARTFORD, CT 06110-1646
(860) 561-7111
(860) 561-7272
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002139
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487806931
NPI
—
Enumeration date
10/15/2008
Last updated
02/21/2011
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