Provider Demographics
NPI:1477542249
Name:ZIMBREAN, PAULA CRISTINA (MD)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:CRISTINA
Last Name:ZIMBREAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 LIBERTY ST
Mailing Address - Street 2:YALE PSYCHIATRIC HOSPITAL - LV125
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519-1625
Mailing Address - Country:US
Mailing Address - Phone:203-688-6266
Mailing Address - Fax:203-737-2221
Practice Address - Street 1:184 LIBERTY ST
Practice Address - Street 2:YALE PSYCHIATRIC HOSPITAL - LV125
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1625
Practice Address - Country:US
Practice Address - Phone:203-688-6266
Practice Address - Fax:203-737-2221
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0416192084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
I38873Medicare UPIN
CT260004433Medicare ID - Type Unspecified