Provider Demographics
NPI:1902832157
Name:SHEETZ, MAURICE SAUNDERS (MD, CCD)
Entity Type:Individual
Prefix:DR
First Name:MAURICE
Middle Name:SAUNDERS
Last Name:SHEETZ
Suffix:
Gender:M
Credentials:MD, CCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 W SHERMAN AVE
Mailing Address - Street 2:BUILDING 1
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-6916
Mailing Address - Country:US
Mailing Address - Phone:856-462-6250
Mailing Address - Fax:856-691-8325
Practice Address - Street 1:1206 W SHERMAN AVE
Practice Address - Street 2:BUILDING 1
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-6916
Practice Address - Country:US
Practice Address - Phone:856-462-6250
Practice Address - Fax:856-691-8325
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA49611207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3611205Medicaid
NJ599297Medicare ID - Type Unspecified
NJ3611205Medicaid