Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 580 | CT |
NPI | 1033660675 |
---|---|
Provider Name | Dr. Diana Zitserman |
First Address | Berlin, CT 06037-1903 |
Second Address | Manchester, CT 06040-5251 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2016 |
Last Update Date | 27/02/2019 |