Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 14323 | CT |
NPI | 1427080126 |
---|---|
Provider Name | David Mitchell Zolov |
First Address | Danbury, CT 06810-7832 |
Second Address | Danbury, CT 06810-7832 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 16/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B38801 | (02) |