Provider Demographics
NPI:1780384677
Name:MUHAMMAD, JANAY ALISE (CD)
Entity type:Individual
Prefix:MRS
First Name:JANAY
Middle Name:ALISE
Last Name:MUHAMMAD
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1902 STONEBRIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-6729
Mailing Address - Country:US
Mailing Address - Phone:130-298-3747
Mailing Address - Fax:
Practice Address - Street 1:1902 STONEBRIDGE BLVD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-6729
Practice Address - Country:US
Practice Address - Phone:130-298-3747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-08
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist