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Individual

DR. BARRY A JANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.,

Contact information

Practice address
15-01 BROADWAY STE 11, FAIR LAWN, NJ 07410-6018
(201) 796-2151
(201) 796-6676
Mailing address
15-01 BROADWAY STE 11, FAIR LAWN, NJ 07410-6018
(201) 796-2151
(201) 796-6676

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
25MD00124900
NJ

Other

Enumeration date
11/24/2006
Last updated
11/13/2009
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