MEDICARE: DR. RICHARD N. SHERMAN 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
1	207N00000X	Dermatology Physician	020084	LA
2	207NS0135X	Procedural Dermatology Physician	020084	LA

General Provider Information

NPI Number	:	1700889177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD N. SHERMAN M.D.

Provider Business Mailing Address
First Line	:	2633 NAPOLEON AVE
Second Line	:	SUITE 815
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-7412
Country	:	US
Telephone Number	:	504-899-7158
Fax Number	:	504-899-7161

Provider Business Practice Location Address
First Line	:	2633 NAPOLEON AVE
Second Line	:	SUITE 815
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-7412
Country	:	US
Telephone Number	:	504-899-7158
Fax Number	:	504-899-7161

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	05/25/2011

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