Individual
MICHAEL JOHN JANECZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - NEONATOLOGY, PHILADELPHIA, PA 19104-4319
(215) 829-3191
(215) 829-7123
Mailing address
101 E OLNEY AVE, STE 400, PHILADELPHIA, PA 19120-2470
(215) 456-1825
(215) 456-5926
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
C10010611
DE
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD431490
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138681
—
NJ
05
—
101960956
—
PA
01
—
C10010611
LICENSE
DE
01
—
DR0009576
CDS
DE
01
—
MD431490
LICENSE
PA
Enumeration date
05/24/2007
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us