Individual
JACLYN JANKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
395 GRAND ST, DEPARTMENT OF ORTHOPEDIC SURGERY, JERSEY CITY, NJ 07302-4238
(201) 521-5934
(201) 915-2025
Mailing address
297 PAVONIA AVE APT 1A, JERSEY CITY, NJ 07302-1541
(508) 523-3544
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MB11067400
NJ
207XX0801X
Orthopaedic Trauma Physician
25MB11067400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2016
Last updated
06/28/2022
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