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General NPI Number Information
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NPI Number | 1417159799
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Entity Type | Organization
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Legal Business Name | DR. MARINA ZATMAN, MD PC
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 02/02/2017
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Provider Practice Location Address
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Address Line | 122 S POMPERAUG AVE STE 2B
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City | WOODBURY
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State | CT
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Zip | 06798-3708
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Country | US
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Telephone | 203-262-8448
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Fax | 203-262-8440
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Provider Business Mailing Address
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Address Line | 3 CARRIAGE LN
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City | WOODBURY
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State | CT
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Zip | 06798-3133
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Country | US
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Telephone | 203-314-1986
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Fax | 203-262-8440
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARINA ZATMAN
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Credential | MD
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Telephone | 203-314-1986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 037890
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License Number State | CT
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