Provider Demographics
NPI:1720199730
Name:HALLIT SCHNAPPAUF, JANICE A (DO)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:A
Last Name:HALLIT SCHNAPPAUF
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:JANICE
Other - Middle Name:A
Other - Last Name:HALLIT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 416457
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-6457
Mailing Address - Country:US
Mailing Address - Phone:844-362-1735
Mailing Address - Fax:973-290-7495
Practice Address - Street 1:3322 ROUTE 22 STE 1204
Practice Address - Street 2:
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-4407
Practice Address - Country:US
Practice Address - Phone:908-378-7227
Practice Address - Fax:908-252-0127
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB05323400207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
133585OtherAETNA
P1227867OtherOXFORD
2595985OtherAETNA
E81781Medicare UPIN
P1227867OtherOXFORD
NJ1720199730Medicare PIN