Individual
JENNIFER MARIE PAMFILIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5655 HUDSON DR STE 303, HUDSON, OH 44236-4454
(330) 800-4800
(330) 653-3016
Mailing address
5655 HUDSON DR STE 303, HUDSON, OH 44236-4454
(330) 800-4800
(330) 653-3016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-071229
OH
207Q00000X
Family Medicine Physician
35071229P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2110585
—
OH
01
—
5718736
AETNA
—
01
—
604
SUMMACARE
OH
01
—
Q005440
HOMETOWN
OH
Enumeration date
10/31/2005
Last updated
01/25/2021
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