Organization
RONALD A. ZLOTOFF, M.D., F.A.C.P., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD A ZLOTOFF M.D., F.A.C.P. (OWNER)
(203) 755-4515
Entity
Organization
Contact information
Practice address
140 GRANDVIEW AVE, LOWER LEVEL SUITE 4, WATERBURY, CT 06708-2505
(203) 755-4515
(203) 755-8129
Mailing address
140 GRANDVIEW AVE, LOWER LEVEL SUITE 4, WATERBURY, CT 06708-2505
(203) 755-4515
(203) 755-8129
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001206499
—
CT
01
—
010020649CT03
BCBS PROVIDER ID
CT
Enumeration date
04/03/2007
Last updated
03/21/2011
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