MEDICARE: ZACHARY K SCOTT

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	2083X0100X	Occupational Medicine Physician	1233006	CT

General Provider Information

NPI Number	:	1881559649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY K SCOTT

Provider Business Mailing Address
First Line	:	1080 DAY HILL RD
Second Line	:
City	:	WINDSOR
State	:	CT
Zip	:	06095-1781
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1080 DAY HILL RD
Second Line	:
City	:	WINDSOR
State	:	CT
Zip	:	06095-1781
Country	:	US
Telephone Number	:	860-298-8442
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	12/23/2025

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