Organization
MARK SHERMAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK D SHERMAN M.D. (OWNER)
(201) 444-1775
Entity
Organization
Contact information
Practice address
85 CHESTNUT RIDGE RD, MONTVALE, NJ 07645-1827
(201) 444-1775
(201) 930-8509
Mailing address
85 CHESTNUT RIDGE RD, MONTVALE, NJ 07645-1827
(201) 444-1775
(201) 930-8509
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA03595800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3012107
—
NJ
Enumeration date
11/01/2010
Last updated
01/16/2013
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