Provider Demographics
NPI:1548596992
Name:JENNY ZAMOR, DO P.C.
Entity Type:Organization
Organization Name:JENNY ZAMOR, DO P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMOR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:804-648-5962
Mailing Address - Street 1:206 E CLAY ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-1326
Mailing Address - Country:US
Mailing Address - Phone:804-648-5962
Mailing Address - Fax:
Practice Address - Street 1:206 E CLAY ST
Practice Address - Street 2:SUITE B
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-1326
Practice Address - Country:US
Practice Address - Phone:804-648-5962
Practice Address - Fax:804-648-0891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-20
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102201696207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA00W453J01Medicare PIN