Healthcare Provider Details

I. General information

NPI: 1801545447
Provider Name (Legal Business Name): ZACHARY J KORWEK DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 ALVORD PARK RD STE A2
TORRINGTON CT
06790-7217
US

IV. Provider business mailing address

245 ALVORD PARK RD STE A2
TORRINGTON CT
06790-7217
US

V. Phone/Fax

Practice location:
  • Phone: 860-482-8539
  • Fax:
Mailing address:
  • Phone: 201-939-9098
  • Fax: 201-939-5614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number1219
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: