Healthcare Provider Details

I. General information

NPI: 1487142030
Provider Name (Legal Business Name): DANIEL ZUCHELLI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2018
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 NEW PARK AVE
NORTH FRANKLIN CT
06254-1807
US

IV. Provider business mailing address

82 NEW PARK AVE
NORTH FRANKLIN CT
06254-1807
US

V. Phone/Fax

Practice location:
  • Phone: 860-889-7345
  • Fax:
Mailing address:
  • Phone: 860-889-7345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number77202
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: