Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 247555 | NY |
N | 2080P0210X | Pediatric Nephrologist | 25MA09589200 | NJ |
NPI | 1053639492 |
---|---|
Provider Name | Dr. Maria Josefina Sharma |
First Address | Belleville, NJ 07109-1839 |
Second Address | Passaic, NJ 07055 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2010 |
Last Update Date | 24/09/2015 |