Provider Demographics
NPI:1417998188
Name:CATANIA, JANE NANCY (LIC AC)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:NANCY
Last Name:CATANIA
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 SYCAMORE AVE
Mailing Address - Street 2:STE 3B
Mailing Address - City:LITTLE SILVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07739-1242
Mailing Address - Country:US
Mailing Address - Phone:732-842-5800
Mailing Address - Fax:732-842-5855
Practice Address - Street 1:44 SYCAMORE AVE
Practice Address - Street 2:STE 3B
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1242
Practice Address - Country:US
Practice Address - Phone:732-842-5800
Practice Address - Fax:732-842-5855
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25M200021500171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist