Provider Demographics
NPI:1144247131
Name:SHARIFF, HAJI M (MD)
Entity type:Individual
Prefix:
First Name:HAJI
Middle Name:M
Last Name:SHARIFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:500 GROVE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HADDON HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:08035-1761
Mailing Address - Country:US
Mailing Address - Phone:856-796-9200
Mailing Address - Fax:856-796-9397
Practice Address - Street 1:601 HAMILTON AVE
Practice Address - Street 2:ROOM 109
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08629-1915
Practice Address - Country:US
Practice Address - Phone:609-599-5307
Practice Address - Fax:609-599-5325
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD027254E208G00000X
NJ25MA05106400208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3647404Medicaid
B36484Medicare UPIN
NJ274779Medicare PIN
PAB36484Medicare UPIN