Individual
DR. KAUSHIK HARIDUTT SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS, DMD, MPA
Contact information
Practice address
100 E LEHIGH AVE, PM2, PHILADELPHIA, PA 19125-1012
(201) 737-7547
Mailing address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(201) 737-7547
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS040210
PA
Other
Enumeration date
05/22/2014
Last updated
02/18/2022
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