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NPI Code Detail

MEDICARE: PETER T JANES MD

MEDICARE: PETER T JANES 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
1207R00000XInternal Medicine Physician215603NY
2208M00000XHospitalist Physician215603NY

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 : 1720012834
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER T JANES MD
Provider Business Mailing Address
First Line : 100 KINGS HWY S
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-5504
Country : US
Telephone Number : 585-344-7269
Fax Number : 585-344-7270
Provider Business Practice Location Address
First Line : 127 NORTH ST
Second Line :
City : BATAVIA
State : NY
Zip : 14020-1631
Country : US
Telephone Number : 585-344-7269
Fax Number : 585-344-7270
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 03/05/2020

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