Provider Demographics
NPI:1316137748
Name:SHER INSTITUTE FOR REPRODUCTIVE MEDICINE
Entity type:Organization
Organization Name:SHER INSTITUTE FOR REPRODUCTIVE MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-781-0666
Mailing Address - Street 1:5320 S. RAINBOW BLVD
Mailing Address - Street 2:STE 300
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-1840
Mailing Address - Country:US
Mailing Address - Phone:702-794-0073
Mailing Address - Fax:702-794-0042
Practice Address - Street 1:171 STATE ROUTE 173
Practice Address - Street 2:STE 301
Practice Address - City:ASBURY
Practice Address - State:NJ
Practice Address - Zip Code:08802
Practice Address - Country:US
Practice Address - Phone:908-781-0666
Practice Address - Fax:908-781-6377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA06312600207VE0102X
207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty