Provider Demographics
NPI:1346286150
Name:JANE ANN SHOVLIN MD LLC
Entity Type:Organization
Organization Name:JANE ANN SHOVLIN MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JANE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SHOVLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-285-1203
Mailing Address - Street 1:17 CANTERBURY LN
Mailing Address - Street 2:
Mailing Address - City:BELLE MEAD
Mailing Address - State:NJ
Mailing Address - Zip Code:08502-5531
Mailing Address - Country:US
Mailing Address - Phone:908-281-9392
Mailing Address - Fax:908-359-3860
Practice Address - Street 1:17 CANTERBURY LN
Practice Address - Street 2:
Practice Address - City:BELLE MEAD
Practice Address - State:NJ
Practice Address - Zip Code:08502-5531
Practice Address - Country:US
Practice Address - Phone:908-281-9392
Practice Address - Fax:908-359-3860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07461700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty