Individual
SHELLY SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1340 HWY 34, ABERDEEN, NJ 07747-1947
(201) 729-0001
(201) 729-0006
Mailing address
PO BOX 1218, FORT LEE, NJ 07024-1218
(201) 729-0001
(201) 729-0006
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA09697800
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA09697800
NJ
208VP0014X
Interventional Pain Medicine Physician
Primary
25MA09697800
NJ
Other
Enumeration date
02/05/2011
Last updated
08/26/2016
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