Organization
GERIATRIC MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJIV K SHARMA M.D. (SOLE OWNER)
(732) 341-6070
Entity
Organization
Contact information
Practice address
9 MULE RD, SUITE E8, TOMS RIVER, NJ 08755-5043
(732) 341-6070
(732) 341-6077
Mailing address
9 MULE RD, SUITE E8, TOMS RIVER, NJ 08755-5043
(732) 341-6070
(732) 341-6077
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA69572
NJ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
25MA69572
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111281
MEDICARE ID
NJ
Enumeration date
06/05/2007
Last updated
04/04/2013
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