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NPI Code Detail

MEDICARE: DR. JANET M CONWAY O.D.

MEDICARE: DR. JANET M CONWAY O.D.
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
1152W00000XOptometrist27OA00555400NJ

General Provider Information

NPI Number : 1306817465
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANET M CONWAY O.D.
Provider Business Mailing Address
First Line : 1025 HAINES MILL RD
Second Line :
City : MOORESTOWN
State : NJ
Zip : 08057-4006
Country : US
Telephone Number : 732-977-6368
Fax Number :
Provider Business Practice Location Address
First Line : 5250 NEW JERSEY AVE
Second Line :
City : FORT DIX
State : NJ
Zip : 08640-5017
Country : US
Telephone Number : 609-562-2627
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2006
Last Update Date : 04/28/2010

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