Healthcare Provider Details

I. General information

NPI: 1104481209
Provider Name (Legal Business Name): DAVID EMANUEL JANHOFER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2019
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 MAPLE ST
NORWALK CT
06850-3894
US

IV. Provider business mailing address

330 E 75TH ST APT 8C
NEW YORK NY
10021-3084
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-5454
  • Fax:
Mailing address:
  • Phone: 609-933-8255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number84412
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: