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NPI Code Detail

MEDICARE: ZACHARY MATHIAS HARVANEK MD

MEDICARE: ZACHARY MATHIAS HARVANEK MD
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
12084P0015XPsychosomatic Medicine Physician66406CT
22084P0800XPsychiatry Physician66406CT

General Provider Information

NPI Number : 1518461714
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY MATHIAS HARVANEK MD
Provider Business Mailing Address
First Line : 300 GEORGE ST STE 901
Second Line :
City : NEW HAVEN
State : CT
Zip : 06511-6662
Country : US
Telephone Number : 203-785-2095
Fax Number :
Provider Business Practice Location Address
First Line : 34 PARK ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06519-1109
Country : US
Telephone Number : 203-215-6887
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2018
Last Update Date : 05/26/2026

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