Provider Demographics
NPI:1184832255
Name:RISPOLI, FRANCES MARY (DO)
Entity Type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:MARY
Last Name:RISPOLI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 FRANKLIN AVE
Mailing Address - Street 2:BELLEVILLE
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-1503
Mailing Address - Country:US
Mailing Address - Phone:973-517-7373
Mailing Address - Fax:
Practice Address - Street 1:426 FRANKLIN AVE
Practice Address - Street 2:BELLEVILLE
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-1503
Practice Address - Country:US
Practice Address - Phone:973-517-7373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB06359800207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
624149BMPMedicare PIN