Organization
ALPHA PODIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK SHAROBEEM DPM (MANAGING MEMBER)
(917) 692-6408
Entity
Organization
Contact information
Practice address
11 MOLLY PITCHER RD, MARLBORO, NJ 07746-2443
(917) 692-6408
Mailing address
11 MOLLY PITCHER RD, MARLBORO, NJ 07746-2443
(917) 692-6408
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00328400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MD00328400
NJ LICENSE
NJ
Enumeration date
01/23/2017
Last updated
01/23/2017
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