Healthcare Provider Details

I. General information

NPI: 1033138029
Provider Name (Legal Business Name): TARUN K SHARMA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 08/09/2023
Certification Date: 08/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 US HIGHWAY 46 STE 100
MINE HILL NJ
07803-3163
US

IV. Provider business mailing address

195 US HIGHWAY 46 STE 100
MINE HILL NJ
07803-3163
US

V. Phone/Fax

Practice location:
  • Phone: 973-366-7330
  • Fax: 973-306-3043
Mailing address:
  • Phone: 973-366-7330
  • Fax: 973-306-3043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number25MA07268500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: