Healthcare Provider Details

I. General information

NPI: 1689471237
Provider Name (Legal Business Name): JANUS MEDICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2025
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 VIRGINIA DR STE 410
FT WASHINGTON PA
19034-3266
US

IV. Provider business mailing address

1300 VIRGINIA DR STE 410
FT WASHINGTON PA
19034-3266
US

V. Phone/Fax

Practice location:
  • Phone: 215-420-0381
  • Fax:
Mailing address:
  • Phone: 215-420-0381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: NATHANIEL ABRAMSON
Title or Position: OWNER
Credential: DO
Phone: 215-420-0381