Healthcare Provider Details

I. General information

NPI: 1598729774
Provider Name (Legal Business Name): THOMAS JAMS ZUESI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 12/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

561 W CENTRAL AVE
DELAWARE OH
43015-1410
US

IV. Provider business mailing address

5777 GREENFIELD DR
GALENA OH
43021-9005
US

V. Phone/Fax

Practice location:
  • Phone: 740-615-1169
  • Fax: 740-615-1173
Mailing address:
  • Phone: 740-657-8112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number34006810
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: