Individual
DUSTIN GLEN SHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 818-1234
Mailing address
1 RIVERVIEW PLZ, RED BANK, NJ 07701-1864
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00591700
NJ
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/07/2019
Last updated
07/23/2023
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