Organization
NAZLY M. SHARIATI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAZLY SHARIATI MD (OWNER)
(908) 273-4949
Entity
Organization
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 273-4949
(908) 522-6105
Mailing address
16 CHELSEA CT, BASKING RIDGE, NJ 07920-2573
(908) 273-4949
(908) 255-6105
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
25MA06634100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053759
—
NJ
Enumeration date
12/18/2006
Last updated
03/26/2008
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