Provider Demographics
NPI:1821079856
Name:STAR, JAMI A (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMI
Middle Name:A
Last Name:STAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JAMI
Other - Middle Name:A
Other - Last Name:ZELTZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:146 WEST RIVER ST 3RD FLOOR
Mailing Address - Street 2:WOMENS MEDICINE COLLABORATIVE
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-2609
Mailing Address - Country:US
Mailing Address - Phone:401-793-5700
Mailing Address - Fax:401-793-7801
Practice Address - Street 1:146 WEST RIVER ST 3RD FLOOR
Practice Address - Street 2:WOMENS MEDICINE COLLABORATIVE
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-2609
Practice Address - Country:US
Practice Address - Phone:401-793-5700
Practice Address - Fax:401-793-7801
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD07825207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3095789Medicaid
MAF29224Medicare UPIN
MA3095789Medicaid