Provider Demographics
NPI:1225364821
Name:SHARMA, PUJA (MD)
Entity Type:Individual
Prefix:DR
First Name:PUJA
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:195 ROUTE 9 SOUTH
Mailing Address - Street 2:STE 108
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726
Mailing Address - Country:US
Mailing Address - Phone:732-536-7144
Mailing Address - Fax:732-536-7520
Practice Address - Street 1:195 ROUTE 9 SOUTH
Practice Address - Street 2:STE 108
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726
Practice Address - Country:US
Practice Address - Phone:732-536-7144
Practice Address - Fax:732-536-7520
Is Sole Proprietor?:No
Enumeration Date:2009-11-02
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09172600207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine