Provider Demographics
NPI:1073399358
Name:ZURZOLA, ROBERT G (ATC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:G
Last Name:ZURZOLA
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 GILLOTTI RD
Mailing Address - Street 2:
Mailing Address - City:NEW FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06812-2521
Mailing Address - Country:US
Mailing Address - Phone:203-482-8991
Mailing Address - Fax:
Practice Address - Street 1:800 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708-3240
Practice Address - Country:US
Practice Address - Phone:203-596-4566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer