Provider Demographics
NPI:1245560192
Name:JAN, BADAR (MD)
Entity Type:Individual
Prefix:
First Name:BADAR
Middle Name:
Last Name:JAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:250 CETRONIA RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-9147
Mailing Address - Country:US
Mailing Address - Phone:610-437-2378
Mailing Address - Fax:610-820-9983
Practice Address - Street 1:250 CETRONIA RD
Practice Address - Street 2:SUITE 301
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-9147
Practice Address - Country:US
Practice Address - Phone:610-437-2378
Practice Address - Fax:610-820-9983
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-28
Last Update Date:2020-08-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD444930208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery