Janicki, Mary Beth

Janicki, Mary Beth is an individual health care provider with primary practice located at 114 Woodland St , Hartford CT 06105-1208. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is her primary health care specialty. Janicki, Mary Beth can be contacted via phone (860) 714-4595.

Contact Information

Primary practice address
114 Woodland St Hartford CT 06105-1208
Phone: (860) 714-4595
Fax: (860) 714-8008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 041341 Connecticut
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 041341 Connecticut
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 041341 Connecticut

Profile Details

NPI number 1407947526
LBN Legal business name Janicki, Mary Beth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jun 16th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407947526 NPPES
Connecticut Other 041341 LICENSE

Popular Providers