Provider Demographics
NPI:1124063532
Name:KRETTEK, JANET M (DO)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:M
Last Name:KRETTEK
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:1650 HUNTINGDON PIKE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:MEADOWBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19046-8004
Mailing Address - Country:US
Mailing Address - Phone:215-938-3145
Mailing Address - Fax:215-938-3144
Practice Address - Street 1:1650 HUNTINGDON PIKE
Practice Address - Street 2:SUITE 205
Practice Address - City:MEADOWBROOK
Practice Address - State:PA
Practice Address - Zip Code:19046-8004
Practice Address - Country:US
Practice Address - Phone:215-938-3145
Practice Address - Fax:215-938-3144
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2014-10-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS015427208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery