Provider Demographics
NPI:1922334457
Name:SHERMAN, HENRY MILES (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:MILES
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:393 MAIN ST
Mailing Address - Street 2:EVA'S VILLAGE
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07501-2815
Mailing Address - Country:US
Mailing Address - Phone:973-523-6220
Mailing Address - Fax:
Practice Address - Street 1:393 MAIN ST
Practice Address - Street 2:EVA'S VILLAGE
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07501-2815
Practice Address - Country:US
Practice Address - Phone:973-523-6220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-17
Last Update Date:2009-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02864200207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine