Individual
JANET L MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3000 ESSEX RD, TINTON FALLS, NJ 07753-2400
(732) 643-2070
(732) 643-2015
Mailing address
5730 EXECUTIVE DR STE 230, CATONSVILLE, MD 21228-1762
(732) 643-2070
(732) 643-2015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MAO4910600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
810301
MEDICARE GROUP
NJ
Enumeration date
03/01/2006
Last updated
02/26/2026
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