Individual
THOMAS JOSEPH ZEGARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 HAGER ST, SAINT MARYS, OH 45885-2421
(419) 394-9579
(419) 394-9580
Mailing address
200 SAINT CLAIR AVE, SAINT MARYS, OH 45885-2400
(419) 300-1129
(419) 394-9575
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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