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NPI Code Detail

MEDICARE: JOY G. JANSSON PA

MEDICARE: JOY G. JANSSON PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantMP00090500NJ

General Provider Information

NPI Number : 1033155932
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOY G. JANSSON PA
Provider Business Mailing Address
First Line : 258 N NEW RD
Second Line :
City : PLEASANTVILLE
State : NJ
Zip : 08232-2170
Country : US
Telephone Number : 609-646-4064
Fax Number : 609-272-8526
Provider Business Practice Location Address
First Line : 258 N NEW RD
Second Line :
City : PLEASANTVILLE
State : NJ
Zip : 08232-2170
Country : US
Telephone Number : 609-646-4064
Fax Number : 609-272-8526
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2006
Last Update Date : 09/28/2007

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