Individual
JAN A JANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 FIRST COLONIAL RD, SUITE 300, VIRGINIA BEACH, VA 23454-2409
(757) 481-2127
(757) 963-5585
Mailing address
2273 SOUVERAIN LN, VIRGINIA BEACH, VA 23454-7403
(757) 481-5730
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101045407
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010119391
—
VA
Enumeration date
06/12/2006
Last updated
12/17/2018
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