Individual
SAMUEL A JANUSZKIEWICZ
Active
Individual
SAMUEL A JANUSZKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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