Organization
ELITE MEDICAL CARE LLC
Active
Parent organization
GERIATRIC MEDICAL CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GERIATRIC MEDICAL CENTER LLC
Authorized official
SANJIV K SHARMA MD (OWNER)
(732) 409-6440
Entity
Organization
Contact information
Practice address
318 PROFESSIONAL VIEW DR, FREEHOLD, NJ 07728-7904
(732) 409-6440
(732) 409-6466
Mailing address
318 PROFESSIONAL VIEW DR, FREEHOLD, NJ 07728-7904
(732) 409-6440
(732) 409-6466
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA06957200
NJ
207R00000X
Internal Medicine Physician
Primary
MA74515
NJ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
25MA06957200
NJ
Other
Enumeration date
07/02/2012
Last updated
04/04/2013
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