Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | MD1940 | NJ |
N | 213ES0131X | Foot Surgery | MD1940 | NJ |
NPI | 1598767105 |
---|---|
Provider Name | Dr. Frances C. Fittanto |
First Address | Oakhurst, NJ 07755-1500 |
Second Address | Oakhurst, NJ 07755-1500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2005 |
Last Update Date | 08/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1971506 | (05) | NJ |
U01575 | (02) | NJ |