Healthcare Provider Details

I. General information

NPI: 1861146243
Provider Name (Legal Business Name): ZACHARY RIGON RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2022
Last Update Date: 02/04/2022
Certification Date: 02/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 CHAPEL ST
NEW HAVEN CT
06511-4405
US

IV. Provider business mailing address

9 ALTHEA ST
WATERBURY CT
06706-2033
US

V. Phone/Fax

Practice location:
  • Phone: 475-246-0263
  • Fax:
Mailing address:
  • Phone: 203-233-6709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number10.186025
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: