Individual
SHARON SHAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
20 VALLEY ST, SOUTH ORANGE, NJ 07079-2887
(973) 313-1113
Mailing address
20 VALLEY ST STE 320, SOUTH ORANGE, NJ 07079-2881
(973) 313-1113
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00799500
NJ
Other
Enumeration date
08/22/2023
Last updated
11/20/2023
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