MEDICARE: JOEL ZARETZKY M.D.P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	019620	CT

General Provider Information

NPI Number	:	1790972859
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOEL ZARETZKY M.D.P.C.

Provider Business Mailing Address
First Line	:	199 WAKELEE AVE
Second Line	:
City	:	ANSONIA
State	:	CT
Zip	:	06401-1145
Country	:	US
Telephone Number	:	203-735-5444
Fax Number	:	203-735-1469

Provider Business Practice Location Address
First Line	:	199 WAKELEE AVE
Second Line	:
City	:	ANSONIA
State	:	CT
Zip	:	06401-1145
Country	:	US
Telephone Number	:	203-735-5444
Fax Number	:	203-735-1469

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOEL S ZARETZKY
Credential	:	M.D.
Telephone Number	:	203-735-5444

Provider Enumeration Date	:	10/02/2007
Last Update Date	:	10/12/2007

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