Individual
NANCY JANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
19 W MAIN ST, SUITE C, MAPLE SHADE, NJ 08052-2411
(856) 779-7386
(856) 779-7563
Mailing address
19 W MAIN ST, SUITE C, MAPLE SHADE, NJ 08052-2411
(856) 779-7386
(856) 779-7563
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB06477700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7790708
—
NJ
Enumeration date
01/13/2006
Last updated
10/16/2020
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