Provider Demographics
NPI:1417103359
Name:SHERMAN, SUZANNE JOSEPHINE (MD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:JOSEPHINE
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5 GARRET MOUNTAIN PLZ
Mailing Address - Street 2:
Mailing Address - City:WEST PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-3317
Mailing Address - Country:US
Mailing Address - Phone:973-357-3394
Mailing Address - Fax:973-754-6384
Practice Address - Street 1:5 GARRET MOUNTAIN PLZ
Practice Address - Street 2:
Practice Address - City:WEST PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07424-3317
Practice Address - Country:US
Practice Address - Phone:973-357-3394
Practice Address - Fax:973-754-6384
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04536800207R00000X, 2083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine