Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 25MB09850700 | NJ |
NPI | 1063604239 |
---|---|
Provider Name | Meredith P Jankowski |
First Address | Somers Point, NJ 08244-2108 |
Second Address | Somers Point, NJ 08244-2108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2007 |
Last Update Date | 04/02/2020 |