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NPI Code Detail

MEDICARE: JAN PIJANOWSKI M.D.

MEDICARE: JAN PIJANOWSKI M.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
1207R00000XInternal Medicine Physician0101223435VA

General Provider Information

NPI Number : 1336172659
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAN PIJANOWSKI M.D.
Provider Business Mailing Address
First Line : 3232 W RIDGE RD SW
Second Line :
City : ROANOKE
State : VA
Zip : 24014-4221
Country : US
Telephone Number : 540-397-2875
Fax Number :
Provider Business Practice Location Address
First Line : 4355 STARKEY RD
Second Line :
City : ROANOKE
State : VA
Zip : 24018-0610
Country : US
Telephone Number : 540-397-2875
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2006
Last Update Date : 11/27/2024

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