Individual
M IHTESHAM JANJUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3774 RIDGE PIKE, STE 100, COLLEGEVILLE, PA 19426-3169
(610) 489-3330
(610) 489-9390
Mailing address
120 E TULPEHOCKEN ST, PHILADELPHIA, PA 19144-2030
(215) 438-3047
(215) 438-3042
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD062987L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017593790003
—
PA
Enumeration date
01/04/2006
Last updated
09/25/2024
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