# PREM SHARMA M.D.P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346598927
- **Authorized official:** DR. PREM NATH SHARMA M.D. (PRESIDENT)
- **Authorized official phone:** (973) 790-8103

## Contact information

- **Practice address:** 220 HAMBURG TURNPIKE, SUITE 12, WAYNE, NJ 07470-2132
- **Practice address phone:** (973) 790-8103
- **Practice address fax:** (073) 790-8097
- **Mailing address:** 220 HAMBURG TURNPIKE, SUITE 12, WAYNE, NJ 07470-2132
- **Mailing address phone:** (973) 790-8103
- **Mailing address fax:** (073) 790-8097

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 0MA025152 | NJ | Yes |

## Other

- **Enumeration date:** 08/29/2012
- **Last updated:** 09/05/2012