Zesk, John S

Zesk, John S is an individual health care provider with primary practice located at 97 Barnes Road , Wallingford CT 06492. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Zesk, John S can be contacted via phone (203) 284-3137.

Contact Information

Primary practice address
97 Barnes Road Wallingford CT 06492
Phone: (203) 284-3137
Fax: (203) 284-3130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 019497 Connecticut

Profile Details

NPI number 1629005004
LBN Legal business name Zesk, John S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Apr 29th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629005004 NPPES
Connecticut MEDICAID 119476
Connecticut Other DA0436

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