Provider Demographics
NPI:1982985701
Name:JANAS, JOHN J III (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:J
Last Name:JANAS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 FOGG ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-2594
Mailing Address - Country:US
Mailing Address - Phone:603-731-7760
Mailing Address - Fax:
Practice Address - Street 1:6 FOGG ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2594
Practice Address - Country:US
Practice Address - Phone:603-731-7760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-07
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH7280171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor