Provider Demographics
NPI:1396858288
Name:ZATMAN, MARINA (MD)
Entity Type:Individual
Prefix:
First Name:MARINA
Middle Name:
Last Name:ZATMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:3 CARRIAGE LN
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06798-3133
Mailing Address - Country:US
Mailing Address - Phone:203-262-8448
Mailing Address - Fax:203-262-8440
Practice Address - Street 1:122 S POMPERAUG AVE STE 2B
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:CT
Practice Address - Zip Code:06798-3708
Practice Address - Country:US
Practice Address - Phone:203-262-8448
Practice Address - Fax:203-262-8440
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT0378902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTG93986Medicare UPIN
CTG93986Medicare UPIN