Provider Information for 1720288517
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Dr. KATHLEEN MAIREAD ZACHERL M.D.
Other Names:Former Name:Dr. KATHLEEN MAIREAD CUSICK M.D.Sex: Female
NPI: 1720288517
Last Updated: 2012-05-17
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1720288517 | ||||||||
| Enumeration Date | 2007-07-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 500 ALBANY AVE HARTFORD, CT 06120-2508 United States Phone: 860-249-9625 | Fax:860-808-1580 | ||||||||
| Primary Practice Address | 500 ALBANY AVE DEPT OF OB/GYN HARTFORD, CT 06120-2508 United States Phone: 860-249-9625 | Fax:860-808-1580 | ||||||||
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