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NPI Code Detail

MEDICARE: DR. JENNIFER ANN JANCO MD

MEDICARE: DR. JENNIFER ANN JANCO 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
1208000000XPediatrics PhysicianMD069770LPA

Other Identifiers

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

General Provider Information

NPI Number : 1427038405
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER ANN JANCO MD
Provider Business Mailing Address
First Line : 174 HARVEST LN
Second Line :
City : POCONO SUMMIT
State : PA
Zip : 18346-7761
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 174 HARVEST LANE
Second Line :
City : POCONO SUMMIT
State : PA
Zip : 18346-7761
Country : US
Telephone Number : 484-658-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2006
Last Update Date : 02/27/2026

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