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Contact Information

NAZLY M. SHARIATI MD PA
99 BEAUVOIR AVE
SUMMIT, NJ07901-3533
 Phone: 908-273-4949
 Fax: 908-522-6105
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for NAZLY M SHARIATI MD PA · (Female)

NPI # 1487717088
Status Active
Credentials
Entity Individual
Enumeration date 12/18/2006
Last updated 03/26/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 25MA06634100
  • NJ Medicaid 0053759
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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