Provider Demographics
NPI:1639241151
Name:SFORZA, FRANK J (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:J
Last Name:SFORZA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 780932
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-0932
Mailing Address - Country:US
Mailing Address - Phone:484-526-4766
Mailing Address - Fax:484-526-3189
Practice Address - Street 1:37 RUPELL RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08827
Practice Address - Country:US
Practice Address - Phone:908-735-7060
Practice Address - Fax:908-735-9922
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA05060200207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP01399214OtherRR MEDICARE
NJ0248002Medicaid
E71020Medicare UPIN
NJP01399214OtherRR MEDICARE
NJ405765CGCMedicare PIN
0248002OtherMEDICAID
405765CGCOtherMEDICARE
080090216OtherRAILROAD MEDICARE
E71020Medicare UPIN
010050602NJ01OtherANTHEM
1140691OtherMERCY
0133357000OtherAMERIHEALTH
543938OtherAETNA
NJ0248002Medicaid