Individual
DR. JILL I SHARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1771 MADISON AVE, CENTER FOR HEALTH EDUCATION, MEDICINE AND DENTISTRY, LAKEWOOD, NJ 08701-1251
(732) 364-2144
(732) 364-3559
Mailing address
1771 MADISON AVE, CENTER FOR HEALTH EDUCATION, MEDICINE AND DENTISTRY, LAKEWOOD, NJ 08701-1251
(732) 364-2144
(732) 364-3559
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB07828500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0155284
—
NJ
Enumeration date
06/21/2005
Last updated
10/30/2008
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