Healthcare Provider Details

I. General information

NPI: 1841689668
Provider Name (Legal Business Name): MULTI DISCIPLINARY SPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2015
Last Update Date: 01/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 ROUTE 17 N. 11TH FLOOR, SUITE 11019
RUTHERFORD NJ
07070-2574
US

IV. Provider business mailing address

201 ROUTE 17 N. 11TH FLOOR, SUITE 11019
RUTHERFORD NJ
07070-2574
US

V. Phone/Fax

Practice location:
  • Phone: 201-549-8860
  • Fax: 201-549-8861
Mailing address:
  • Phone: 201-549-8860
  • Fax: 201-549-8861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number25MA07791700
License Number StateNJ

VIII. Authorized Official

Name: DR. EMRAN S SHEIKH
Title or Position: OWNER /PARTNER
Credential: M.D.
Phone: 201-549-8860