MEDICARE: MR. FRANK J ZIMMITTI PAC MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	001436	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	001436	OTHER	CT	PHYSICIAN ASSO
2	34470	OTHER	CT	CONTROLLED SUBSTANCE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396715629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FRANK J ZIMMITTI PAC MS

Provider Business Mailing Address
First Line	:	1591 BOSTON POST RD STE 100
Second Line	:
City	:	GUILFORD
State	:	CT
Zip	:	06437-4335
Country	:	US
Telephone Number	:	203-932-6481
Fax Number	:	203-932-4051

Provider Business Practice Location Address
First Line	:	1591 BOSTON POST RD STE 100
Second Line	:
City	:	GUILFORD
State	:	CT
Zip	:	06437-4335
Country	:	US
Telephone Number	:	203-932-6481
Fax Number	:	203-932-4051

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	07/28/2025

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