Healthcare Provider Details

I. General information

NPI: 1629257282
Provider Name (Legal Business Name): CONSTANCE SCHARFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2007
Last Update Date: 10/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 KING GEORGE RD SUITE408
FORDS NJ
08863-1974
US

IV. Provider business mailing address

720 KING GEORGE RD SUITE408
FORDS NJ
08863-1974
US

V. Phone/Fax

Practice location:
  • Phone: 732-738-0333
  • Fax: 732-738-0334
Mailing address:
  • Phone: 732-738-0333
  • Fax: 732-738-0334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHP0100100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: