Provider Demographics
NPI:1326044207
Name:STARSNIC, JANICE (MD)
Entity type:Individual
Prefix:DR
First Name:JANICE
Middle Name:
Last Name:STARSNIC
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 1:2208 QUARRY DR
Mailing Address - Street 2:STE 206
Mailing Address - City:WEST LAWN
Mailing Address - State:PA
Mailing Address - Zip Code:19609-1158
Mailing Address - Country:US
Mailing Address - Phone:610-927-3880
Mailing Address - Fax:610-927-0787
Practice Address - Street 1:2208 QUARRY DR
Practice Address - Street 2:STE 206
Practice Address - City:WEST LAWN
Practice Address - State:PA
Practice Address - Zip Code:19609-1158
Practice Address - Country:US
Practice Address - Phone:610-927-3880
Practice Address - Fax:610-927-0787
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD418930207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA059664QSGMedicare ID - Type Unspecified
A53206Medicare UPIN