Provider Demographics
NPI:1417159799
Name:DR. MARINA ZATMAN, MD PC
Entity Type:Organization
Organization Name:DR. MARINA ZATMAN, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZATMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-314-1986
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:203-314-1986
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT037890174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty