Richard Zuwallack
Pulmonary Disease
114 Woodland St Pulmonary
Hartford
, Connecticut 06105-1208
Richard Zuwallack
Pulmonary Disease
114 Woodland St Pulmonary
Hartford
, Connecticut 06105-1208
(860) 714-8311
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About
Features
Specialties
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Richard Zuwallack
- 1000 Asylum Ave Suite 2109a
- Hartford, CT
- Zip : 06105-1770
- Fax : (860) 714-8311
- Phone : (860) 714-6581
Second Address
- Richard Zuwallack
- 114 Woodland St Pulmonary
- Hartford, CT
- Zip : 06105-1208
- Fax : (860) 714-8035
- Phone : (860) 714-4045
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RP1001X | Pulmonary Disease | 016718 | CT |
National Provider Identifier
| NPI | 1033111455 |
|---|---|
| Provider Name | Richard Zuwallack |
| First Address | Hartford, CT 06105-1770 |
| Second Address | Hartford, CT 06105-1208 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/08/2005 |
| Last Update Date | 23/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001167180 | (05) | CT |
| B84178 | (02) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.