Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 7059 | CT |
Y | 213EG0000X | General Practice | 7059 | CT |
NPI | 1003890443 |
---|---|
Provider Name | Dr. Robert J Zatz |
First Address | South Windsor, CT 06074-2768 |
Second Address | South Windsor, CT 06074-2768 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2005 |
Last Update Date | 10/09/2013 |