MEDICARE: DR. MARIA SAMI JANJUA D.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
1	122300000X	Dentist	DS037225	PA

General Provider Information

NPI Number	:	1831382795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA SAMI JANJUA D.M.D

Provider Business Mailing Address
First Line	:	1822 E ALLEGHENY AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19134-3120
Country	:	US
Telephone Number	:	610-764-6042
Fax Number	:

Provider Business Practice Location Address
First Line	:	1822 E ALLEGHENY AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19134-3120
Country	:	US
Telephone Number	:	610-764-6042
Fax Number	:

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

Provider Enumeration Date	:	08/23/2007
Last Update Date	:	10/25/2011

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