Provider Demographics
NPI:1821339102
Name:SHARMA, KARAN DILIPKUMAR (PT DPT)
Entity Type:Individual
Prefix:
First Name:KARAN
Middle Name:DILIPKUMAR
Last Name:SHARMA
Suffix:
Gender:M
Credentials:PT DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 DUGANS GROVE
Mailing Address - Street 2:
Mailing Address - City:MILLSTONE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08535-8014
Mailing Address - Country:US
Mailing Address - Phone:201-430-5772
Mailing Address - Fax:
Practice Address - Street 1:225 N CENTER DR
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-4247
Practice Address - Country:US
Practice Address - Phone:201-430-5772
Practice Address - Fax:732-428-5513
Is Sole Proprietor?:No
Enumeration Date:2013-03-11
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035472225100000X
NJ40QA01609800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist