Provider Demographics
NPI:1659323731
Name:SJOLUND, PAULA ANN (DO)
Entity Type:Individual
Prefix:DR
First Name:PAULA ANN
Middle Name:
Last Name:SJOLUND
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:MILLTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08850-1220
Mailing Address - Country:US
Mailing Address - Phone:732-828-1175
Mailing Address - Fax:732-828-1195
Practice Address - Street 1:72 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:MILLTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08850-1220
Practice Address - Country:US
Practice Address - Phone:732-828-1175
Practice Address - Fax:732-828-1195
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB58170207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine