Individual
ROBERT JACKSON SHERERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
34460
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
440003773
RR MEDICARE
—
05
—
Q23772
—
SC
Enumeration date
12/09/2005
Last updated
11/01/2012
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