Provider Demographics
NPI:1962635383
Name:SHARON SCHERL, MD LLC
Entity Type:Organization
Organization Name:SHARON SCHERL, MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHERL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-568-8400
Mailing Address - Street 1:45 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:TENAFLY
Mailing Address - State:NJ
Mailing Address - Zip Code:07670-1741
Mailing Address - Country:US
Mailing Address - Phone:201-568-8400
Mailing Address - Fax:201-568-8554
Practice Address - Street 1:45 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:TENAFLY
Practice Address - State:NJ
Practice Address - Zip Code:07670-1741
Practice Address - Country:US
Practice Address - Phone:201-568-8400
Practice Address - Fax:201-568-8554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-02
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA56598207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF16328Medicare UPIN