Provider Demographics
NPI:1659933042
Name:MARCH, JANEEN THERESA (PA-C)
Entity Type:Individual
Prefix:
First Name:JANEEN
Middle Name:THERESA
Last Name:MARCH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:JANEEN
Other - Middle Name:THERESA
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1694 US-9
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065
Mailing Address - Country:US
Mailing Address - Phone:518-930-7486
Mailing Address - Fax:
Practice Address - Street 1:1694 US-9
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-1206
Practice Address - Country:US
Practice Address - Phone:518-930-7486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-05
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023556363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant