Individual
IWONA JOANNA JANICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
112 N 7TH ST, CHAMBERSBURG, PA 17201-1720
(717) 217-4300
(717) 217-4217
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
MD064990L
PA
208M00000X
Hospitalist Physician
Primary
MD064990L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001722083 0003
—
PA
01
—
31822
HIGHMARK BLUE SHIELD
PA
01
—
50074295
CAPITAL BLUECROSS
PA
01
—
MD064990L
LICENSE
PA
01
—
P002561
GATEWAY
PA
01
—
P00683486
RAILROAD MEDICARE
PA
01
—
PEARL
HEALTH AMERICA
PA
Enumeration date
07/01/2005
Last updated
09/12/2024
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