Individual
NEAL BRADLEY ZOMBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
478 S MAIN ST, CHESHIRE, CT 06410-3117
(203) 250-0505
(203) 651-0049
Mailing address
478 S MAIN ST, CHESHIRE, CT 06410-3117
(203) 250-0505
(203) 651-0049
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
466
CT
213ES0000X
Sports Medicine Podiatrist
466
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004090528
—
CT
Enumeration date
07/23/2006
Last updated
03/17/2018
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