# JEID SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457625709
- **Authorized official:** JAIRO A ERASO ZAMARO M.D. (OWNER)
- **Authorized official phone:** (414) 364-3037

## Contact information

- **Practice address:** 2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
- **Practice address phone:** (414) 649-6000
- **Practice address fax:** (414) 649-1325
- **Mailing address:** PO BOX 71807, RICHMOND, VA 23255-1807
- **Mailing address phone:** (804) 350-2889
- **Mailing address fax:** (804) 612-5201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | 50877-20 | WI | Yes |

## Other

- **Enumeration date:** 03/05/2012
- **Last updated:** 02/22/2023