Individual
JAN CZEREPAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2401 PENNSYLVANIA AVE STE B9, PHILADELPHIA, PA 19130-3010
(215) 629-1353
(866) 521-0299
Mailing address
325 MOLNAR DR, ELMWOOD PARK, NJ 07407-3207
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
25MB06847100
NJ
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
25MB06847100
NJ
208D00000X
General Practice Physician
25MB06847100
NJ
Other
Enumeration date
07/30/2014
Last updated
12/12/2023
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