Individual
MR. MATTHEW JANOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5046 HIGHWAY 17 BYP S STE 103, MYRTLE BEACH, SC 29588-4503
(843) 668-4104
(843) 668-4108
Mailing address
35 GREEN POND RD STE C, ROCKAWAY, NJ 07866-2057
(973) 625-0600
(973) 625-3434
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3046
SC
363A00000X
Physician Assistant
PA5586
MA
Other
Enumeration date
11/24/2015
Last updated
10/22/2018
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