Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 254441 | NY |
NPI | 1003003880 |
---|---|
Provider Name | Dr. Madhu Sharma |
First Address | Tenafly, NJ 07670-1912 |
Second Address | Bronx, NY 10467-2401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2007 |
Last Update Date | 12/09/2012 |