Organization · NPI-2

Jensam LLC

Internal Medicine · Rocky River, OH

NPI number1497230874
StatusActive
Last updated in NPPESOct 1, 2018

Details

NPI
1497230874
Entity type
Organization (NPI-2)
Legal business name
Jensam LLC
Organization subpart
No
Enumeration date
Oct 1, 2018
Last updated
Oct 1, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

21851 Center Ridge Rd Ste 107
Rocky River, OH 44116-3901

Phone 216-221-7642

Mailing address

21851 Center Ridge Rd Ste 107
Rocky River, OH 44116-3901

Phone 216-221-7642

Authorized official

Gasan Nemr
MD/Owner
2162217642

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine providers in Rocky River, OH