Provider Demographics
NPI:1508059312
Name:JAMES J. ZUMPANO, M.D.,LLC
Entity Type:Organization
Organization Name:JAMES J. ZUMPANO, M.D.,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZUMPANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-488-7339
Mailing Address - Street 1:144 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-3044
Mailing Address - Country:US
Mailing Address - Phone:203-488-7339
Mailing Address - Fax:203-488-0858
Practice Address - Street 1:144 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405-3044
Practice Address - Country:US
Practice Address - Phone:203-488-7339
Practice Address - Fax:203-488-0858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTG02393Medicare UPIN
CTC03508Medicare PIN