Individual
DR. SHIRA JOLENE GERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 PROSPECT AVE, SUITE 900, HACKENSACK, NJ 07601-1914
(201) 996-2403
Mailing address
30 PROSPECT AVE, SUITE 900, HACKENSACK, NJ 07601-1914
(201) 996-2403
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
25MA08349900
NJ
2080P0203X
Pediatric Critical Care Medicine Physician
M2329
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154148
—
NJ
Enumeration date
05/27/2006
Last updated
02/27/2013
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