Healthcare Provider Details

I. General information

NPI: 1871587030
Provider Name (Legal Business Name): GEORGE F ZAHRAH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2005
Last Update Date: 04/12/2011
Certification Date:
Deactivation Date: 09/02/2005
Reactivation Date: 07/31/2007

III. Provider practice location address

40 CROSS ST 4TH FL NORWALK MEDICAL GROUP PC
NORWALK CT
06851-4647
US

IV. Provider business mailing address

40 CROSS ST 4TH FL NORWALK MEDICAL GROUP PC
NORWALK CT
06851-4647
US

V. Phone/Fax

Practice location:
  • Phone: 203-845-4889
  • Fax: 203-845-4897
Mailing address:
  • Phone: 203-845-4889
  • Fax: 203-845-4897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number038431
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: