Provider Demographics
NPI:1407389505
Name:SHERER, JAMES CLARK (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CLARK
Last Name:SHERER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:99 BEAUVOIR AVE
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3533
Mailing Address - Country:US
Mailing Address - Phone:908-522-4878
Mailing Address - Fax:908-522-4888
Practice Address - Street 1:1 SOUTH ST
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3945
Practice Address - Country:US
Practice Address - Phone:908-522-2316
Practice Address - Fax:908-598-2388
Is Sole Proprietor?:No
Enumeration Date:2017-04-05
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY307556-012084P0802X, 2084P0802X
NJ25MA112578002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry