Provider Demographics
NPI:1134814841
Name:BAH, ZYNAB UMU
Entity type:Individual
Prefix:
First Name:ZYNAB
Middle Name:UMU
Last Name:BAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:346 TURNPIKE RD UNIT 2307
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-2906
Mailing Address - Country:US
Mailing Address - Phone:860-234-7254
Mailing Address - Fax:
Practice Address - Street 1:55 MERRITT BLVD
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-5435
Practice Address - Country:US
Practice Address - Phone:086-023-4725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA.0001700376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker