Organization
DAVID ZUCKER MD LLC
Active
Organization
DAVID ZUCKER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ZUCKER MD (PRESIDENT)
(203) 873-0333
Entity
Organization
Contact information
Practice address
999 ORONOQUE LN, 3RD FLOOR, STRATFORD, CT 06614-1379
(203) 873-0333
(203) 873-0336
Mailing address
999 ORONOQUE LANE, 3RD FLOOR, STRATFORD, CT 06614-1379
(203) 873-0333
(203) 873-0336
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
027757
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D100000095
MEDICARE PTAN
CT
Enumeration date
04/23/2008
Last updated
02/27/2012
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