Provider Demographics
NPI:1265670426
Name:JANISZEWSKI, SAMANTHA ANN (RT)
Entity Type:Individual
Prefix:MS
First Name:SAMANTHA
Middle Name:ANN
Last Name:JANISZEWSKI
Suffix:
Gender:F
Credentials:RT
Other - Prefix:MS
Other - First Name:SAMANTHA
Other - Middle Name:ANN
Other - Last Name:JANISZEWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RT
Mailing Address - Street 1:609 CHANNEL CT
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-4827
Mailing Address - Country:US
Mailing Address - Phone:302-838-8389
Mailing Address - Fax:
Practice Address - Street 1:609 CHANNEL CT
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-4827
Practice Address - Country:US
Practice Address - Phone:302-838-8389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance Imaging