Provider Demographics
NPI:1528187069
Name:FOX, JANELLE A (MD)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:A
Last Name:FOX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:UPMC CHILDREN'S HOSPITAL OF PITTSBURGH
Mailing Address - Street 2:4401 PENN AVENUE 4TH FLOOR DIVISION OF PEDIATRIC UROLOG
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224
Mailing Address - Country:US
Mailing Address - Phone:412-692-7932
Mailing Address - Fax:412-692-7939
Practice Address - Street 1:UPMC CHILDREN'S HOSPITAL OF PITTSBURGH
Practice Address - Street 2:4401 PENN AVENUE 4TH FLOOR DIVISION OF PEDIATRIC UROLOG
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224
Practice Address - Country:US
Practice Address - Phone:412-692-7932
Practice Address - Fax:412-692-7939
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN49721208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN462697000Medicaid
MNP00471945OtherRAILROAD MEDICARE
FL020238900Medicaid
MN340000948Medicare PIN