Healthcare Provider Details

I. General information

NPI: 1649270240
Provider Name (Legal Business Name): SHEILA M FIELDS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/26/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 OLD HOOK RD 2ND FLOOR
WESTWOOD NJ
07675-3123
US

IV. Provider business mailing address

270 OLD HOOK RD 2ND FLOOR
WESTWOOD NJ
07675-3123
US

V. Phone/Fax

Practice location:
  • Phone: 201-666-4949
  • Fax: 201-666-6920
Mailing address:
  • Phone: 201-666-4949
  • Fax: 201-666-6920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA02859800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: