Provider Demographics
NPI:1598767105
Name:FITTANTO, FRANCES C (DPM)
Entity Type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:C
Last Name:FITTANTO
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:257 MONMOUTH RD
Mailing Address - Street 2:BUILDING B SUITE 5
Mailing Address - City:OAKHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07755-1500
Mailing Address - Country:US
Mailing Address - Phone:732-531-3440
Mailing Address - Fax:732-531-1880
Practice Address - Street 1:257 MONMOUTH RD
Practice Address - Street 2:BUILDING B SUITE 5
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755-1500
Practice Address - Country:US
Practice Address - Phone:732-531-3440
Practice Address - Fax:732-531-1880
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-12
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMD1940213EP1101X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1971506Medicaid
NJU01575Medicare UPIN
NJFI585353Medicare ID - Type Unspecified