Zackery Mundus PA-C

NPI 1427467372 - Physician Assistant - 363A00000X

NPI Details
NPI 1427467372
Gender Male
Enumeration Date 08/05/2014
Last Updated 08/14/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
20 YORK ST
NEW HAVEN CT, 06510-3220, US
Phone (203) 688-4242
Fax
Business Location
20 YORK ST
NEW HAVEN CT, 06510-3220, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Connecticut
License Number 3151
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According to our database, Zackery Mundus PA-C NPI is 1427467372, taxonomy code is 363A00000X and license number is 3151, license state is located at Connecticut. Zackery Mundus PA-C physically located at 20 York St, New Haven CT, 06510-3220. NPI Number Zackery Mundus PA-C has the Individual type.

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1427467372 NPI number is provided on an as is basis without warranty of any kind. 1427467372 is maintained by the National Plan & Provider Enumeration System. The contents of Zackery Mundus PA-C are for informational purposes only.