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
Fax: (860) 714-8035
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033111455 NPPES
Connecticut MEDICAID 001167180

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