Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 253773 | NY |
Y | 2080P0216X | Pediatric Rheumatologist | 25MA09119500 | NJ |
NPI | 1609109818 |
---|---|
Provider Name | Dr. Ginger Janow |
First Address | Hackensack, NJ 07601-1915 |
Second Address | Hackensack, NJ 07601-1915 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2009 |
Last Update Date | 03/05/2017 |