Healthcare Provider Details

I. General information

NPI: 1447337415
Provider Name (Legal Business Name): SHARON EVE SELINGER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 08/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SPRINGFIELD AVE SUITE 1A
SUMMIT NJ
07901-4055
US

IV. Provider business mailing address

1 SPRINGFIELD AVE SUITE 1A
SUMMIT NJ
07901-4055
US

V. Phone/Fax

Practice location:
  • Phone: 908-273-8300
  • Fax: 908-273-8807
Mailing address:
  • Phone: 908-273-8300
  • Fax: 908-273-8807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number50040
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: