Individual
JASMIN A TAMBOLI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
227 CANTON RD, WINTERSVILLE, OH 43953
(740) 266-2161
(304) 723-5741
Mailing address
2814 PENNSYLVANIA AVE, WEIRTON, WV 26062
(304) 723-1810
(304) 723-5741
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
16914
WV
207Q00000X
Family Medicine Physician
Primary
35063405
OH
207Q00000X
Family Medicine Physician
MD044241E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0895152
—
OH
01
—
5630314
BCBS
—
Enumeration date
04/26/2006
Last updated
07/08/2007
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