Provider Demographics
NPI:1811082373
Name:SJOVALL, FRANCES (DO)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:
Last Name:SJOVALL
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 1:8 TINDALL RD
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-2740
Mailing Address - Country:US
Mailing Address - Phone:732-671-0093
Mailing Address - Fax:732-671-0226
Practice Address - Street 1:8 TINDALL RD
Practice Address - Street 2:SUITE 3A
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-2740
Practice Address - Country:US
Practice Address - Phone:732-671-0093
Practice Address - Fax:732-671-0226
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB06264000207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJS98269Medicare UPIN
NJ600582Medicare ID - Type Unspecified