Provider Demographics
NPI:1326143694
Name:ALBORG, FRANCES (MD)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:
Last Name:ALBORG
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 1:110 CHAPEL #8
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:NEW BRUNSWICK
Mailing Address - Zip Code:E7M 1H1
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:110 CHAPEL #8
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:NEW BRUNSWICK
Practice Address - Zip Code:E7M 1H1
Practice Address - Country:CA
Practice Address - Phone:506-328-3154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME015296207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A92662Medicare UPIN