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NPI Code Detail

MEDICARE: MICHAEL GEORGE ZERBE PA-C

MEDICARE: MICHAEL GEORGE ZERBE PA-C
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
1363AM0700XMedical Physician Assistant702CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1702OTHERCTSTATE LICENSE

General Provider Information

NPI Number : 1952361453
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL GEORGE ZERBE PA-C
Provider Business Mailing Address
First Line : 1290 SILAS DEANE HIGHWAY
Second Line : HHC - CVO
City : WETHERSFIELD
State : CT
Zip : 06109-4337
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 385 W MAIN ST
Second Line :
City : AVON
State : CT
Zip : 06001-4357
Country : US
Telephone Number : 860-777-1280
Fax Number : 860-777-1276
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2006
Last Update Date : 09/08/2023

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Directions to “ MICHAEL GEORGE ZERBE PA-C” Practice Location

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