Healthcare Provider Details

I. General information

NPI: 1811779887
Provider Name (Legal Business Name): HEALTHNATION PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2023
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

354 SAWMILL RD
WEST HAVEN CT
06516-4005
US

IV. Provider business mailing address

PO BOX 10417
HOLYOKE MA
01041-2017
US

V. Phone/Fax

Practice location:
  • Phone: 203-896-7000
  • Fax:
Mailing address:
  • Phone: 203-896-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MUHAMMAD ATIQUZ ZAMAN
Title or Position: OWNER
Credential:
Phone: 203-896-7000