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Contact Information

MARK D SHERMAN, MD
85 CHESTNUT RIDGE ROAD SUITE 111
MONTVALE, NJ07645
 Phone: 201-444-1775
 Fax: 201-930-8509
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARK D SHERMAN · (Male)

NPI Number 1417095142
Status Active
Credentials MD
Entity Individual
Enumeration date 02/02/2007
Last updated 03/24/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA03595800
  • NJ Medicaid 3012107
  • Other 222334181 FEDERAL TAX ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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