Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 25MA08450100 | NJ |
Y | 208600000X | Surgeon | 25MA08450100 | NJ |
N | 2086S0102X | Surgical Critical Care | 25MA08450100 | NJ |
N | 2086S0127X | Trauma Surgeon | 25MA08450100 | NJ |
NPI | 1295928737 |
---|---|
Provider Name | Sherwin Schrag |
First Address | Jersey City, NJ 07302 |
Second Address | Jersey City, NJ 07302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2007 |
Last Update Date | 20/03/2009 |