Individual
DR. MAXWELL JANOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 ENGLE ST, BERRIE BLDG FLOOR 1, ENGLEWOOD, NJ 07631-1808
(201) 568-5250
Mailing address
350 ENGLE ST, BERRIE BLDG FLOOR 1, ENGLEWOOD, NJ 07631-1808
(201) 568-5250
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
257805
NY
207RH0003X
Hematology & Oncology Physician
Primary
25MA09497600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
364131
MEDICARE PTAN
NJ
Enumeration date
05/29/2009
Last updated
11/26/2014
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