Organization
KISHWAR SHAREEF MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KISHWAR SHAREEF M.D. (PRESIDENT)
(973) 442-3016
Entity
Organization
Contact information
Practice address
447 ROUTE 10 E, 15, RANDOLPH, NJ 07869-2132
(973) 442-3016
(973) 442-3017
Mailing address
30 EDGEFIELD DR, MORRIS PLAINS, NJ 07950-1973
(973) 442-3016
(973) 442-3017
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07099200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056561
—
NJ
Enumeration date
11/05/2007
Last updated
07/06/2010
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