Individual
SAMUEL A JANUSZKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 MEDICAL CENTER DR, SUITE B500, HUNTINGTON, WV 25701-3656
(304) 691-1500
(304) 691-1510
Mailing address
1600 MEDICAL CENTER DR, SUITE B500, HUNTINGTON, WV 25701-3656
(304) 691-1500
(304) 691-1510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13405
WV
2084P0800X
Psychiatry Physician
Primary
13405
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114367000
—
WV
05
—
0635398
—
OH
Enumeration date
03/27/2006
Last updated
01/19/2011
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