Healthcare Provider Details

I. General information

NPI: 1588834394
Provider Name (Legal Business Name): ZIKARAS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2008
Last Update Date: 03/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2456 PARK AVE
BRIDGEPORT CT
06604-1403
US

IV. Provider business mailing address

2456 PARK AVE
BRIDGEPORT CT
06604-1403
US

V. Phone/Fax

Practice location:
  • Phone: 203-332-7117
  • Fax: 203-368-4756
Mailing address:
  • Phone: 203-332-7117
  • Fax: 203-368-4756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT ALLAN ZIKARAS
Title or Position: M.D.
Credential: M.D.
Phone: 203-332-7117