Individual
DR. JANICE BETH TAITEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17 S WARREN ST, DOVER, NJ 07801-4506
(973) 328-9100
(973) 328-6817
Mailing address
115 W LAKE SHORE DR, ROCKAWAY, NJ 07866-1001
(973) 586-4640
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06116100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013676
—
NJ
05
—
0038750
—
NJ
Enumeration date
09/27/2006
Last updated
03/02/2012
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