Basic Information
Provider Information
NPI: 1275587958
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DENNY
FirstName: SHARON
MiddleName: T.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 137 TROUT RUN MEWS W
Address2:  
City: MEDIA
State: PA
PostalCode: 190631182
CountryCode: US
TelephoneNumber: 6103531636
FaxNumber:  
Practice Location
Address1: 1 MEDICAL CENTER BLVD
Address2:  
City: UPLAND
State: PA
PostalCode: 190133902
CountryCode: US
TelephoneNumber: 6108742501
FaxNumber: 6104476776
Other Information
ProviderEnumerationDate: 05/19/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208100000XMD012989-EPAY Allopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation 

No ID Information.


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