# JAN CZEREPAK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1922416387
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 25MB06847100 | NJ | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 25MB06847100 | NJ | — |
| 208D00000X | General Practice Physician | 25MB06847100 | NJ | — |

## Other

- **Enumeration date:** 07/30/2014
- **Last updated:** 12/12/2023