Provider Demographics
NPI:1770843773
Name:M & B SHARMA PC
Entity Type:Organization
Organization Name:M & B SHARMA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BHARATEE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-845-6363
Mailing Address - Street 1:201 W PASSAIC ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ROCHELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07662-3100
Mailing Address - Country:US
Mailing Address - Phone:201-845-6363
Mailing Address - Fax:201-845-0882
Practice Address - Street 1:9 RAMAPO TRL
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10528-1809
Practice Address - Country:US
Practice Address - Phone:914-527-2636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-23
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY011497OtherPSC# NY