Healthcare Provider Details

I. General information

NPI: 1225059116
Provider Name (Legal Business Name): FELICE R ZWAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 W PUTNAM AVE SUITE 100
GREENWICH CT
06830-6086
US

IV. Provider business mailing address

500 W PUTNAM AVE SUITE 100
GREENWICH CT
06830-6086
US

V. Phone/Fax

Practice location:
  • Phone: 203-863-2900
  • Fax: 203-863-2901
Mailing address:
  • Phone: 203-863-2900
  • Fax: 203-863-2901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number028878
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: