Provider Demographics
NPI:1447229463
Name:SHERMAN, GARRY (DPM)
Entity Type:Individual
Prefix:
First Name:GARRY
Middle Name:
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MADISON AVE
Mailing Address - Street 2:B2
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960
Mailing Address - Country:US
Mailing Address - Phone:973-359-4403
Mailing Address - Fax:973-898-7311
Practice Address - Street 1:101 MADISON AVE
Practice Address - Street 2:B2
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960
Practice Address - Country:US
Practice Address - Phone:973-359-4403
Practice Address - Fax:973-898-7311
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00080000213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T73144Medicare UPIN
NJ000445806Medicare ID - Type Unspecified