Jan Czerepak
General Practice Physician Otolaryngology/Facial Plastic Surgery
325 Molnar Dr
Elmwood Park
, New Jersey 07407-3207
Jan Czerepak
General Practice Physician Otolaryngology/Facial Plastic Surgery
325 Molnar Dr
Elmwood Park
, New Jersey 07407-3207
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
- General Practice Physician
Languages spoken
- English
Location
First Address
- Jan Czerepak
- 325 Molnar Dr
- Elmwood Park, NJ
- Zip : 07407-3207
- Phone :
Second Address
- Jan Czerepak
- 325 Molnar Dr
- Elmwood Park, NJ
- Zip : 07407-3207
- Phone : (856) 304-4922
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Is Jan Czerepak a sole practitioner?
Is Jan Czerepak accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 25MB06847100 | NJ |
| N | 208D00000X | General Practice Physician | 25MB06847100 | NJ |
National Provider Identifier
| NPI | 1922416387 |
|---|---|
| Provider Name | Jan Czerepak |
| First Address | Elmwood Park, NJ 07407-3207 |
| Second Address | Elmwood Park, NJ 07407-3207 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/07/2014 |
| Last Update Date | 20/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.