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Individual

MR. ZACHARY PORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
333 CEDAR ST, NEW HAVEN, CT 06510-3206
(310) 418-8315
Mailing address
333 CEDAR ST, NEW HAVEN, CT 06510-3206
(310) 418-8315

Taxonomy

Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
75875
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
75875
CONNECTICUT MEDICAL LICENSE
CT
Enumeration date
03/26/2015
Last updated
09/13/2023
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