Individual
JANICE M MEHNERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 E 34TH ST, NEW YORK, NY 10016-4744
(212) 731-5431
Mailing address
66 WEST GILBERT ST, RED BANK, NJ 07701
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
25MA08217000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0169811
—
NJ
01
—
P00656056
RR MCR PTAN
NJ
Enumeration date
05/10/2007
Last updated
08/15/2022
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