Organization
CLINIC 21 OF CONNECTICUT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J ZYNIEWICZ II DO (PRESIDENT)
(330) 493-4443
Entity
Organization
Contact information
Practice address
2001 W MAIN ST, #100, STAMFORD, CT 06902-4501
(203) 276-8540
(203) 276-8541
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
(330) 493-8677
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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