Individual
DR. MARK GEORGE JANCZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
425 S PAYNE ST, ALEXANDRIA, VA 22314-5944
(703) 994-7637
Mailing address
425 S PAYNE ST, ALEXANDRIA, VA 22314-5944
(703) 994-7637
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101041106
VA
2083A0100X
Aerospace Medicine Physician
0101041106
VA
2083C0008X
Clinical Informatics Physician
Primary
0101041106
VA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
0101041106
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101041106
LICENSE
VA
01
—
ME175967
LICENSE
FL
Enumeration date
06/09/2005
Last updated
09/03/2025
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