Individual
DR. DEBORA ZAMORA-OLIVENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
388 W CENTER ST, MANCHESTER, CT 06040-4735
(860) 649-1120
Mailing address
388 W CENTER ST, MANCHESTER, CT 06040-4735
(860) 649-1120
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
21006
PR
207V00000X
Obstetrics & Gynecology Physician
Primary
72163
CT
390200000X
Student in an Organized Health Care Education/Training Program
14407-I
PR
Other
Enumeration date
03/27/2018
Last updated
10/18/2024
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