Provider Information for 1942620158
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Dr. JENNIFER OZIMEK M.D.
Other Names:Former Name:Ms. JENNIFER LALLYSex: Female
NPI: 1942620158
Last Updated: 2022-11-07
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||
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| NPI | 1942620158 | ||||||||||||||
| Enumeration Date | 2014-04-27 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 263 FARMINGTON AVE FARMINGTON, CT 06032-1956 United States Phone: 860-679-4477 | Fax: | ||||||||||||||
| Primary Practice Address | 263 FARMINGTON AVE FARMINGTON, CT 06032-1956 United States Phone: 860-679-4477 | Fax: | ||||||||||||||
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