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Individual

DR. NITI SHARMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
66 WEST GILBERT ST, RED BANK, NJ 07701
(732) 212-0060
Mailing address
138 MARY ALICE CT, UNION, NJ 07083-7145
(973) 941-1841

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB08756200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
265745
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0240699
NJ
Enumeration date
05/26/2010
Last updated
06/15/2018
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