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Search › New Jersey › 363LA2200X

Jancy Civichan

NPI 1952897829 · on the registry since 2018 · sole proprietor

Practice

Address
258 N New Rd
Pleasantville, NJ 08232
Phone
(732) 743-5910
Fax
(732) 994-6993
Organisation at this address
Medexcel Llc
Medcom Health Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Also registered as
163WG0600X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-11-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey