Individual
DR. JERY JANUSZKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1825 LOGAN AVE, WATERLOO, IA 50703-1916
(319) 235-3941
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD-49234
IA
390200000X
Student in an Organized Health Care Education/Training Program
22-149-4440
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-149-4440
STUDENT HEALTH CARE
NJ
01
—
MD-49234
IOWA MEDICAL BOARD
IA
Enumeration date
07/29/2016
Last updated
11/21/2023
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