Provider Demographics
NPI:1952478901
Name:TODARO, JANET C
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:C
Last Name:TODARO
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:JANET
Other - Middle Name:C
Other - Last Name:STUBBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:40 SOUTH ST
Mailing Address - Street 2:STE 201
Mailing Address - City:MARBLEHEAD
Mailing Address - State:MA
Mailing Address - Zip Code:01945
Mailing Address - Country:US
Mailing Address - Phone:781-639-1019
Mailing Address - Fax:
Practice Address - Street 1:40 SOUTH ST
Practice Address - Street 2:STE 201
Practice Address - City:MARBLEHEAD
Practice Address - State:MA
Practice Address - Zip Code:01945
Practice Address - Country:US
Practice Address - Phone:781-639-1019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3311174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAWO4004Medicare PIN