Organization Name: | JANJUA FACIAL SURGERY |
NPI Number: | 1831373596 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TANVEER A JANJUA (CEO) |
Mailing Address: | 2345 Lamington Rd Ste 108 Bedminster |
State: | NJ US |
Postal Code: | 079212612 |
Phone Number: | 9084702600 |
Fax Number: | 9084701660 |
NPI Enumeration Date: | 12/18/2007 |
NPI Last Update Date: | 03/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YS0123X |
License Number: | MA72835 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in facial plastic surgery. |