Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 25MA07268500 | NJ |
N | 111NI0900X | Internist | 25MA07268500 | NJ |
Y | 207RG0100X | Gastroenterologist | 25MA07268500 | NJ |
NPI | 1033138029 |
---|---|
Provider Name | Dr. Tarun K Sharma |
First Address | Mine Hill, NJ 07803-3163 |
Second Address | Mine Hill, NJ 07803-3163 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
9070702 | (05) | NJ |
H77624 | (02) |