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NPI Code Detail

MEDICARE: DR. RITU SHARMA MD

MEDICARE:  DR. RITU  SHARMA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207R00000XInternal Medicine Physician25MA08623500NJ
3208000000XPediatrics Physician25MA08623500NJ

General Provider Information

NPI Number : 1205008414
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RITU SHARMA MD
Provider Business Mailing Address
First Line : PO BOX 416457
Second Line :
City : BOSTON
State : MA
Zip : 02241-6457
Country : US
Telephone Number : 973-656-6280
Fax Number : 973-290-7495
Provider Business Practice Location Address
First Line : 909 RINGWOOD AVE
Second Line :
City : HASKELL
State : NJ
Zip : 07420-1343
Country : US
Telephone Number : 973-831-6700
Fax Number : 973-831-6703
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2008
Last Update Date : 12/04/2013

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