Provider Demographics
NPI:1861506958
Name:GO, JANE O (MD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:O
Last Name:GO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2640 HIGHWAY 70
Mailing Address - Street 2:BLDG 2A
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736-2609
Mailing Address - Country:US
Mailing Address - Phone:732-223-1440
Mailing Address - Fax:
Practice Address - Street 1:2640 HIGHWAY 70
Practice Address - Street 2:BLDG 2A
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-2609
Practice Address - Country:US
Practice Address - Phone:732-223-1440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA036681208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics