Provider Demographics
NPI:1396715629
Name:ZIMMITTI, FRANK J (PAC MS)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:J
Last Name:ZIMMITTI
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Gender:M
Credentials:PAC MS
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Mailing Address - Street 1:1 CELLINI PL STE 102
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516-1666
Mailing Address - Country:US
Mailing Address - Phone:203-932-6481
Mailing Address - Fax:203-932-4051
Practice Address - Street 1:1 CELLINI PL STE 102
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-1666
Practice Address - Country:US
Practice Address - Phone:203-932-6481
Practice Address - Fax:203-932-4051
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2025-02-13
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Provider Licenses
StateLicense IDTaxonomies
CT001436363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001436OtherPHYSICIAN ASSO
CT004236007Medicaid
CT34470OtherCONTROLLED SUBSTANCE
Q06721Medicare UPIN