MEDICARE: SHARMILA CHOPRA

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	DS039378	PA
2	122300000X	Dentist	DI02527500	NJ

General Provider Information

NPI Number	:	1326384041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARMILA CHOPRA

Provider Business Mailing Address
First Line	:	166 SUMMERHILL DR
Second Line	:	PLEASE ENTER YOUR ADDRESS.
City	:	MORRIS PLAINS
State	:	NJ
Zip	:	07950-1170
Country	:	US
Telephone Number	:	817-793-3844
Fax Number	:

Provider Business Practice Location Address
First Line	:	561 ROUTE 1 S
Second Line	:	PLEASE ENTER YOUR ADDRESS.
City	:	EDISON
State	:	NJ
Zip	:	08817-4400
Country	:	US
Telephone Number	:	723-248-3368
Fax Number	:

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

Provider Enumeration Date	:	12/27/2012
Last Update Date	:	05/20/2021

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Directions to “ SHARMILA CHOPRA ” Practice Location

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