Provider Demographics
NPI:1487821054
Name:GERTZMAN, SHARON DEBORAH (DO)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:DEBORAH
Last Name:GERTZMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2425 PENNINGTON RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-5228
Mailing Address - Country:US
Mailing Address - Phone:609-737-7737
Mailing Address - Fax:
Practice Address - Street 1:2425 PENNINGTON RD
Practice Address - Street 2:SUITE 100
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-5228
Practice Address - Country:US
Practice Address - Phone:609-737-7737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB58117207Q00000X
NJ25MB05811700207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine