Healthcare Provider Details

I. General information

NPI: 1437141363
Provider Name (Legal Business Name): JAMES J. ZUMPANO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/17/2005
Last Update Date: 07/23/2021
Certification Date: 07/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 N MAIN ST
BRANFORD CT
06405-3044
US

IV. Provider business mailing address

144 N MAIN ST
BRANFORD CT
06405-3044
US

V. Phone/Fax

Practice location:
  • Phone: 203-488-7339
  • Fax: 203-488-0858
Mailing address:
  • Phone: 203-488-7339
  • Fax: 203-488-0858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number034492
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: