Provider Demographics
NPI:1396517686
Name:MONARCH METABOLIC AND HORMONAL HEALTH, PLLC
Entity type:Organization
Organization Name:MONARCH METABOLIC AND HORMONAL HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:O
Authorized Official - Last Name:ZIZZAMIA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:860-386-5167
Mailing Address - Street 1:146 HAZARD AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-4566
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:146 HAZARD AVE STE 107
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-4566
Practice Address - Country:US
Practice Address - Phone:860-386-5167
Practice Address - Fax:860-962-4005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty