Individual
DR. BRENT MATTHEW JANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
70 GILBERT ST, MONROE, NY 10950-1538
(845) 782-8616
Mailing address
70 GILBERT ST STE 103, MONROE, NY 10950-1506
(845) 782-8616
(845) 774-8870
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
270639
NY
Other
Enumeration date
03/26/2010
Last updated
10/14/2023
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