Zdankiewicz, Peter Donald

Zdankiewicz, Peter Donald is an sole proprietor health care provider with primary practice located at 10 Main St S , Southbury CT 06488-2260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Zdankiewicz, Peter Donald can be contacted via phone (888) 338-8356.

Contact Information

Primary practice address
10 Main St S Southbury CT 06488-2260
Fax: (888) 366-1189
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 038476 Connecticut

Profile Details

NPI number 1093775660
LBN Legal business name Zdankiewicz, Peter Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2006
Last updated May 18th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093775660 NPPES
Connecticut MEDICAID 001384768

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