MEDICARE: DR. ROBERT ZAVOD M.D.

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	174400000X	Specialist	014845	CT

General Provider Information

NPI Number	:	1811224207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT ZAVOD M.D.

Provider Business Mailing Address
First Line	:	130 TIMMS HILL RD
Second Line	:
City	:	HADDAM
State	:	CT
Zip	:	06438-1041
Country	:	US
Telephone Number	:	860-345-2646
Fax Number	:	860-345-3212

Provider Business Practice Location Address
First Line	:	130 TIMMS HILL RD
Second Line	:
City	:	HADDAM
State	:	CT
Zip	:	06438-1041
Country	:	US
Telephone Number	:	860-345-2646
Fax Number	:	860-345-3212

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

Provider Enumeration Date	:	11/05/2009
Last Update Date	:	01/11/2026

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