Provider Demographics
NPI:1063606010
Name:CANTER, JANE MICHEL (MD)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:MICHEL
Last Name:CANTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3311 PENDLETON DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-2426
Mailing Address - Country:US
Mailing Address - Phone:301-949-5471
Mailing Address - Fax:
Practice Address - Street 1:3311 PENDLETON DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-2426
Practice Address - Country:US
Practice Address - Phone:301-949-5471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDOOO4361208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice