Individual
DR. ALBERT DAVID JANERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 WYOMING AVE, WEST PITTSTON, PA 18643-2742
(570) 824-4111
(570) 824-3167
Mailing address
901 WYOMING AVE, WEST PITTSTON, PA 18643-2742
(570) 824-4111
(570) 824-3167
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD021055E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000074260
UNISON
PA
05
—
0006919750003
—
PA
01
—
081097
FIRST PRIORITY HEALTH
PA
01
—
085038
BLUE SHIELD
PA
01
—
085038K9M
MEDICARE
PA
01
—
104481
BLACK LUNG
PA
01
—
1145603
AMERIHEALTH MERCY
PA
01
—
2193450
GEISINGER
PA
01
—
506146
AETNA US HEALTH CARE
PA
01
—
790000014
PALMETTO GBA
PA
Enumeration date
08/09/2006
Last updated
02/28/2022
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