Healthcare Provider Details

I. General information

NPI: 1518904267
Provider Name (Legal Business Name): RICHARD B ZELMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 ROUTE 130
FORESTDALE MA
02644-1427
US

IV. Provider business mailing address

25 MAIN ST
HYANNIS MA
02601-3129
US

V. Phone/Fax

Practice location:
  • Phone: 508-827-1954
  • Fax: 508-827-8751
Mailing address:
  • Phone: 508-778-1829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number56545
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number56545
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: