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NPI Code Detail

MEDICARE: DR. WILLIAM JULIUS SJOVALL JR. D.O.

MEDICARE:  DR. WILLIAM JULIUS SJOVALL JR. D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician25MB07113500NJ

General Provider Information

NPI Number : 1649293986
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM JULIUS SJOVALL JR. D.O.
Provider Business Mailing Address
First Line : 124 LAKE AVE
Second Line :
City : FAIR HAVEN
State : NJ
Zip : 07704-3107
Country : US
Telephone Number : 732-936-0077
Fax Number :
Provider Business Practice Location Address
First Line : 124 LAKE AVE
Second Line :
City : FAIR HAVEN
State : NJ
Zip : 07704-3107
Country : US
Telephone Number : 732-936-0077
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 07/08/2007

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Directions to “ DR. WILLIAM JULIUS SJOVALL JR. D.O.” Practice Location

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