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Individual

DR. NENAD B JANICIJEVIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1691 WASHINGTON RD, MT LEBANON, PA 15228-1643
(412) 835-6900
(412) 835-6933
Mailing address
1691 WASHINGTON RD, MT LEBANON, PA 15228-1643
(412) 835-6900
(412) 835-6933

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD021521E
PA
208D00000X
General Practice Physician
Primary
MD021521E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0681487
PA
01
100674
UPMC HEALTH PLAN
PA
01
1530211
HIGHMARK OF PA
PA
01
210694500
US DEPT OF DISABILITY
PA
01
228827401
OXFORD
PA
01
700000896
PALAMATO GBA RAILROAD MED
PA
01
ME121910
HIGHMARK OF PA
PA
Enumeration date
02/07/2006
Last updated
06/15/2010
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