Individual
ZINAIDA MATLYUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
263 FARMINGTON AVE, DIAGNOSTIC IMAGING & THERAPEUTICS, FARMINGTON, CT 06030-0001
(860) 679-2784
(860) 679-4126
Mailing address
65 KANE ST, PROVIDER ENROLLMENT, WEST HARTFORD, CT 06119-2110
(860) 523-6421
(860) 523-3701
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
046271
CT
Other
Enumeration date
05/08/2007
Last updated
07/09/2008
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