Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 047899 | CT |
N | 207V00000X | Obstetrician & Gynecologist | 35087283 | OH |
N | 207VG0400X | Gynecologist | 35087283 | OH |
N | 207VX0000X | Obstetrician | 35087283 | OH |
NPI | 1346281375 |
---|---|
Provider Name | Jonathan A Zeisler |
First Address | Hartford, CT 06151-0634 |
Second Address | Hartford, CT 06102-5037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 28/10/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001478999 | (05) | CT |
2670720 | (05) | OH |
7100002660 | (05) | KY |
L56696 | (02) |