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NPI Code Detail

MEDICARE: AYESHA SHARFUDDIN

MEDICARE:   AYESHA  SHARFUDDIN
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
1207P00000XEmergency Medicine Physician25MA13141000NJ

General Provider Information

NPI Number : 1407535776
Entity Type Code : Individual
Provider Name (Legal Business Name) : AYESHA SHARFUDDIN
Provider Business Mailing Address
First Line : 99 HIGHWAY 37 W
Second Line :
City : TOMS RIVER
State : NJ
Zip : 08755-6423
Country : US
Telephone Number : 732-557-2604
Fax Number :
Provider Business Practice Location Address
First Line : 99 HIGHWAY 37 W
Second Line :
City : TOMS RIVER
State : NJ
Zip : 08755-6423
Country : US
Telephone Number : 732-557-2604
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2023
Last Update Date : 05/26/2026

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Directions to “ AYESHA SHARFUDDIN ” Practice Location

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