Individual
MARK DAVID SHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
85 CHESTNUT RIDGE ROAD SUITE 111, MONTVALE, NJ 07645
(201) 444-1775
(201) 930-8509
Mailing address
85 CHESTNUT RIDGE ROAD SUITE 111, MONTVALE, NJ 07645
(201) 444-1775
(201) 930-8509
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA03595800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222334181
FEDERAL TAX ID
—
05
—
3012107
—
NJ
Enumeration date
02/02/2007
Last updated
03/24/2015
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