Healthcare Provider Details

I. General information

NPI: 1346286150
Provider Name (Legal Business Name): JANE ANN SHOVLIN MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 CANTERBURY LN
BELLE MEAD NJ
08502-5531
US

IV. Provider business mailing address

17 CANTERBURY LN
BELLE MEAD NJ
08502-5531
US

V. Phone/Fax

Practice location:
  • Phone: 908-281-9392
  • Fax: 908-359-3860
Mailing address:
  • Phone: 908-281-9392
  • Fax: 908-359-3860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA07461700
License Number StateNJ

VIII. Authorized Official

Name: DR. JANE ANN SHOVLIN
Title or Position: PHYSICIAN
Credential: MD
Phone: 908-285-1203