Individual
MR. DONALD KEVIN ZETTERVALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH, CDE, CDM
Contact information
Practice address
134 BOSTON POST RD, SUITE 2 THE DIABETES CENTER, OLD SAYBROOK, CT 06475-1548
(860) 388-6677
(860) 388-3256
Mailing address
134 BOSTON POST RD, SUITE 2 THE DIABETES CENTER, OLD SAYBROOK, CT 06475-1548
(860) 388-6677
(860) 388-3256
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0901-8462
CT
183500000X
Pharmacist
Primary
0330002686
VT
183500000X
Pharmacist
5567
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OV6291
HEALTHNET
CT
Enumeration date
11/18/2005
Last updated
09/11/2025
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