Provider Demographics
NPI:1649457714
Name:FERRARO, JANEEN BISHOP (DDS)
Entity type:Individual
Prefix:
First Name:JANEEN
Middle Name:BISHOP
Last Name:FERRARO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 AVENUE AT THE CMN
Mailing Address - Street 2:SUITE 16
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4805
Mailing Address - Country:US
Mailing Address - Phone:732-935-0905
Mailing Address - Fax:
Practice Address - Street 1:167 AVENUE AT THE CMN
Practice Address - Street 2:SUITE 16
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4805
Practice Address - Country:US
Practice Address - Phone:732-935-0905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-30
Last Update Date:2010-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D102253100122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist