Healthcare Provider Details

I. General information

NPI: 1396858288
Provider Name (Legal Business Name): MARINA ZATMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 02/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 S POMPERAUG AVE STE 2B
WOODBURY CT
06798-3708
US

IV. Provider business mailing address

3 CARRIAGE LN
WOODBURY CT
06798-3133
US

V. Phone/Fax

Practice location:
  • Phone: 203-262-8448
  • Fax: 203-262-8440
Mailing address:
  • Phone: 203-262-8448
  • Fax: 203-262-8440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number037890
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: