Individual
THOMAS JOSEPH ZEGARSKI
Active
Individual
THOMAS JOSEPH ZEGARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35065349
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105065
GROUP MEDICAID6/1/17
OH
01
—
1184652539
GROUP NPI AS OF 6/1/2017
OH
05
—
2091883
—
OH
01
—
34-1689161
JTDM FAMILY PRACTICE LLC AS OF 6/1/2017
OH
Enumeration date
08/26/2005
Last updated
08/10/2020
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