Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 25MB08379900 | NJ |
NPI | 1003083312 |
---|---|
Provider Name | Sharon M Kaus |
First Address | Sicklerville, NJ 08081-5710 |
Second Address | Sicklerville, NJ 08081-5710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2008 |
Last Update Date | 23/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01004664100 | AMERICHOICE (01) | NJ |
0167193 | (05) | NJ |
1879505/9110165 | AETNA (01) | NJ |
3531619000 | AMERIHEALTH/KEYSTONE/IBC (01) | NJ |
60042703 | HORIZON NJ HEALTH (01) | NJ |
P3922107 | OXFORD (01) | NJ |