MEDICARE: GHULAM SHERAZ DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DN1855339	MA

General Provider Information

NPI Number	:	1326363474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GHULAM SHERAZ DMD

Provider Business Mailing Address
First Line	:	6 FOX PL
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-6404
Country	:	US
Telephone Number	:	215-908-9106
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 FOX PL
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-6404
Country	:	US
Telephone Number	:	215-908-9106
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2010
Last Update Date	:	04/01/2010

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Directions to “ GHULAM SHERAZ DMD” Practice Location

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