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Individual

DR. ARNOLD ZUCKMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2566 MAIN ST, BRIDGEPORT, CT 06606-5302
(203) 367-7764
(203) 367-3556
Mailing address
2566 MAIN ST, BRIDGEPORT, CT 06606-5302
(203) 367-7764
(203) 367-3556

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
P00232
CT
213ER0200X
Radiology Podiatrist
P00232
CT
213ES0000X
Sports Medicine Podiatrist
P00232
CT
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P00232
CT
213ES0131X
Foot Surgery Podiatrist
P00232
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004006763
CT
01
030000232CT01
BLUE SHIELD
CT
01
060874388
FEDERAL TAX ID
CT
01
1803438002
CIGNA
CT
01
27-01372
EVERCARE
CT
01
568061
AETNA
CT
01
ZS616
OXFORD
CT
Enumeration date
11/14/2006
Last updated
03/17/2008
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