Individual
LARRY STEWART JANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
63 KRESSON ROAD, SUITE 101, CHERRY HILL, NJ 08034
(856) 218-1770
(856) 795-3625
Mailing address
500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1761
(856) 796-9200
(856) 796-9397
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MB02885700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130003783
MEDICARE ID
NJ
05
—
4902203
—
NJ
Enumeration date
01/25/2006
Last updated
10/19/2020
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