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General NPI Number Information
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NPI Number | 1003007758
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Entity Type | Organization
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Legal Business Name | JACOB ZAMSTEIN, MD, LLC
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 701 COTTAGE GROVE RD # C SUITE 110
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City | BLOOMFIELD
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State | CT
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Zip | 06002-3080
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Country | US
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Telephone | 860-242-2900
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Fax | 860-242-2250
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Provider Business Mailing Address
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Address Line | 701 COTTAGE GROVE RD # C SUITE 110
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City | BLOOMFIELD
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State | CT
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Zip | 06002-3080
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Country | US
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Telephone | 860-242-2900
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Fax | 860-242-2250
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Authorized Official
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Title or Position | OWNER
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Name | DR. JACOB ZAMSTEIN
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Credential | MD
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Telephone | 860-242-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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