Individual
DR. RAJ KUMAR SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 BROADWAY, PASSAIC, NJ 07055-5007
(973) 473-1180
(973) 815-0747
Mailing address
15 BROADWAY, PASSAIC, NJ 07055-5007
(973) 473-1180
(973) 815-0747
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA02746900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA02746900
LICENSE
NJ
05
—
2922002
—
NJ
Enumeration date
07/14/2006
Last updated
07/08/2007
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