Individual
MR. JERRY SHEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 RAIDER BLVD, STE. 101, HILLSBOROUGH, NJ 08844-1528
(908) 281-0221
(908) 281-0890
Mailing address
105 RAIDER BLVD, STE. 101, HILLSBOROUGH, NJ 08844-1528
(908) 281-0221
(908) 281-0890
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MAO7856000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0131440
—
NJ
Enumeration date
05/18/2006
Last updated
11/19/2013
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