Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 000172 | CT |
NPI | 1730269317 |
---|---|
Provider Name | Dr. Peter Zilahy |
First Address | Watertown, CT 06795-3101 |
Second Address | Watertown, CT 06795-3101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 10/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T22759 | (02) | CT |