Individual
KENNETH JAMES JANOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12 COUNTRY MEADOW RD, HACKETTSTOWN, NJ 07840-5205
(908) 850-6806
(908) 850-6815
Mailing address
12 COUNTRY MEADOW RD, HACKETTSTOWN, NJ 07840-5205
(908) 850-6806
(908) 850-6815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
59720
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6858601
—
NJ
01
—
758830SML
MEDICARE - CORP ID
NJ
Enumeration date
06/04/2006
Last updated
06/30/2010
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