# GERIATRIC MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1366644734
- **Authorized official:** SANJIV K SHARMA M.D. (SOLE OWNER)
- **Authorized official phone:** (732) 341-6070

## Contact information

- **Practice address:** 9 MULE RD, SUITE E8, TOMS RIVER, NJ 08755-5043
- **Practice address phone:** (732) 341-6070
- **Practice address fax:** (732) 341-6077
- **Mailing address:** 9 MULE RD, SUITE E8, TOMS RIVER, NJ 08755-5043
- **Mailing address phone:** (732) 341-6070
- **Mailing address fax:** (732) 341-6077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA69572 | NJ | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | 25MA69572 | NJ | — |

## Other

- **Enumeration date:** 06/05/2007
- **Last updated:** 04/04/2013