Provider Demographics
NPI:1609884337
Name:BOND, SHEILA ANN (MD)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:ANN
Last Name:BOND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:39 S FULLERTON AVE
Mailing Address - Street 2:3RD FLR.
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-6303
Mailing Address - Country:US
Mailing Address - Phone:973-509-0007
Mailing Address - Fax:973-509-0733
Practice Address - Street 1:39 S FULLERTON AVE
Practice Address - Street 2:3RD FLR.
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-6303
Practice Address - Country:US
Practice Address - Phone:973-509-0007
Practice Address - Fax:973-509-0733
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06135400208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF94164Medicare UPIN