Provider Demographics
NPI:1346219912
Name:TUMALIUAN, JANET ANG (MD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:ANG
Last Name:TUMALIUAN
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 1:606 LACEY RD
Mailing Address - Street 2:
Mailing Address - City:FORKED RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08731-2205
Mailing Address - Country:US
Mailing Address - Phone:609-693-6464
Mailing Address - Fax:
Practice Address - Street 1:606 LACEY RD
Practice Address - Street 2:
Practice Address - City:FORKED RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08731-2205
Practice Address - Country:US
Practice Address - Phone:609-693-6464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-16
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA65918207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8147604Medicaid
NJ047580Medicare PIN