Individual
MRS. JENNIFER L ZAPATKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5520 PARK AVE, SUITE M2-300, TRUMBULL, CT 06611-3463
(203) 374-0310
Mailing address
5520 PARK AVE, SUITE M2-300, TRUMBULL, CT 06611-3463
(203) 374-0310
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002176
CT
363AS0400X
Surgical Physician Assistant
3903
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008037880
—
CT
Enumeration date
11/21/2008
Last updated
08/19/2020
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