Healthcare Provider Details

I. General information

NPI: 1457319998
Provider Name (Legal Business Name): SALMAN ZAFAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 12/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 CASE ST STE 103
NORWICH CT
06360
US

IV. Provider business mailing address

12 CASE ST STE 103
NORWICH CT
06360
US

V. Phone/Fax

Practice location:
  • Phone: 860-889-0147
  • Fax: 860-887-7255
Mailing address:
  • Phone: 860-889-0147
  • Fax: 860-887-7255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number037347
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: