Provider Demographics
NPI:1235235524
Name:SHERMAN, ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1103 N KINGS HWY STE 203
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-1983
Mailing Address - Country:US
Mailing Address - Phone:856-321-1919
Mailing Address - Fax:856-321-0206
Practice Address - Street 1:1103 N KINGS HWY STE 203
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-1983
Practice Address - Country:US
Practice Address - Phone:856-321-1919
Practice Address - Fax:856-321-0206
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA60196207R00000X, 207RG0300X
PAMD-031833-E207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
475793OtherAETNA
JP145OtherOXFORD
3K6219OtherHEALTHNET
9186538OtherCIGNA
13599OtherUNIVERSITY HEALTHPLAN
601792OtherUNITED HEALTHCARE
NJ6309909Medicaid
CA0000064OtherAMERICHOICE
110099695OtherRR MEDICARE
0759066000OtherAMERIHEALTH, KEYSTONE, IBC
1011962OtherHORIZON NJ HEALTH
1011962OtherHORIZON NJ HEALTH
9186538OtherCIGNA