Provider Demographics
NPI:1568599108
Name:ZAMOR, JENNY (DO)
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:
Last Name:ZAMOR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4895 MONROE ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4383
Mailing Address - Country:US
Mailing Address - Phone:419-471-9000
Mailing Address - Fax:419-885-0203
Practice Address - Street 1:4895 MONROE ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-4383
Practice Address - Country:US
Practice Address - Phone:419-471-9000
Practice Address - Fax:419-885-0203
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34009859207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3064213Medicaid
OH3064213Medicaid