Individual
DR. AMITA KALIA-SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1124 E RIDGEWOOD AVE STE 103, RIDGEWOOD, NJ 07450-3915
(201) 652-8585
(201) 612-1439
Mailing address
1124 E. RIDGEWOOD AVE, SUITE 103, RIDGEWOOD, NJ 07450
(201) 652-8585
(201) 612-1439
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MAO6929900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0036196
—
NJ
Enumeration date
11/28/2006
Last updated
07/21/2022
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