Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 1043 | CT |
NPI | 1780743799 |
---|---|
Provider Name | Dr. Robert W Zembroski |
First Address | Darien, CT 06820-4613 |
Second Address | Darien, CT 06820-4613 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 30/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0007798133 | AETNA PROVIDER NUMBER (01) | CT |
050001043CT01 | BLUE CROSS PROVIDER NO. (01) | CT |
757285 | CONNECTICARE PROVIDER NO. (01) | CT |
P2011910 | OXFORD PROVIDER NUMBER (01) | CT |
X0E442 | EMPIRE BLUE CROSS BLUE SHIELD (01) | CT |