Individual
ZACHARY GIESICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 MOUNT CARMEL AVE, HAMDEN, CT 06518-1961
(203) 896-0132
Mailing address
8300 N LAMAR BLVD, STE 200A, AUSTIN, TX 78753-5976
(512) 782-9312
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14170
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/03/2020
Last updated
03/10/2022
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