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NPI Code Detail

MEDICARE: DR. SARI MANSHEIM M.D.

MEDICARE: DR. SARI MANSHEIM M.D.
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
1174400000XSpecialist25MA07064500NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12K0055OTHERNJHEALTHNET ID #
2P2542124OTHERNJOXFORD ID #
32752656OTHERNJAETNA HMO ID #
47374186OTHERNJAETNA PPO GROUP #
52461037OTHERNJAETNA HMO GROUP #
6070AM2OTHERNJEMPRIE BC/BS OF NY ID #
77686284OTHERNJAETNA PPO ID #

General Provider Information

NPI Number : 1568467900
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARI MANSHEIM M.D.
Provider Business Mailing Address
First Line : 581 N FRANKLIN TPKE
Second Line :
City : RAMSEY
State : NJ
Zip : 07446-1139
Country : US
Telephone Number : 201-236-2100
Fax Number : 201-236-5269
Provider Business Practice Location Address
First Line : 581 N FRANKLIN TPKE
Second Line :
City : RAMSEY
State : NJ
Zip : 07446-1139
Country : US
Telephone Number : 201-236-2100
Fax Number : 201-236-5269
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 07/09/2007

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