Provider Demographics
NPI:1912906835
Name:PARLER, JANET PATRICIA (MD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:PATRICIA
Last Name:PARLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 ALBEMARLE RD
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-4213
Mailing Address - Country:US
Mailing Address - Phone:732-390-4470
Mailing Address - Fax:732-390-4484
Practice Address - Street 1:20 ALBEMARLE RD
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-4213
Practice Address - Country:US
Practice Address - Phone:732-390-4470
Practice Address - Fax:732-390-4484
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-21
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA044293002086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3595307Medicaid
NJ1105141OtherHORIZON NJ HEALTH
B14381Medicare UPIN
NJ102056Medicare ID - Type Unspecified