Zuwallack, Richard
Zuwallack, Richard is an individual health care provider with primary practice located at 114 Woodland St Pulmonary, Hartford CT 06105-1208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Zuwallack, Richard can be contacted via phone (860) 714-4045.Contact Information
Primary practice address
114 Woodland St Pulmonary
Hartford CT 06105-1208
Phone: (860) 714-4045
Fax: (860) 714-8035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 016718 | Connecticut |
Profile Details
| NPI number | 1033111455 |
|---|---|
| LBN Legal business name | Zuwallack, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Jun 23rd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033111455 | NPPES |
| Connecticut | MEDICAID | 001167180 |
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