Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 25MA05106400 | NJ |
N | 208G00000X | Cardiothoracic Vascular Surgeon | MD027254E | PA |
NPI | 1144247131 |
---|---|
Provider Name | Haji M Shariff |
First Address | Haddon Heights, NJ 08035-1761 |
Second Address | Trenton, NJ 08629-1915 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2006 |
Last Update Date | 22/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3647404 | (05) | NJ |
B36484 | (02) |