Gertz, Shira Jolene
Gertz, Shira Jolene is an individual health care provider with primary practice located at 30 Prospect Ave Suite 900, Hackensack NJ 07601-1914. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Gertz, Shira Jolene can be contacted via phone (201) 996-2403.Contact Information
Primary practice address
30 Prospect Ave Suite 900
Hackensack NJ 07601-1914
Phone: (201) 996-2403
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | M2329 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 25MA08349900 | New Jersey |
Profile Details
| NPI number | 1740237759 |
|---|---|
| LBN Legal business name | Gertz, Shira Jolene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Feb 27th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740237759 | NPPES |
| New Jersey | MEDICAID | 0154148 |
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