MEDICARE: JANINE L JANOWICZ MD

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
1	207R00000X	Internal Medicine Physician	35058874	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346345683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANINE L JANOWICZ MD

Provider Business Mailing Address
First Line	:	PO BOX 80690
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44708
Country	:	US
Telephone Number	:	330-833-5530
Fax Number	:	330-833-6085

Provider Business Practice Location Address
First Line	:	1605 WHIPPLE AVE NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44708
Country	:	US
Telephone Number	:	330-478-5595
Fax Number	:	330-478-0501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	01/02/2010

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