Provider Demographics
NPI:1003860057
Name:SHARP, JOHN WILLIAM JR (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:WILLIAM
Last Name:SHARP
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1254 LITITZ PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4340
Mailing Address - Country:US
Mailing Address - Phone:717-397-4724
Mailing Address - Fax:717-397-6687
Practice Address - Street 1:1254 LITITZ PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4340
Practice Address - Country:US
Practice Address - Phone:717-397-4724
Practice Address - Fax:717-397-6687
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD033892E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C34819Medicare UPIN
PASH528886Medicare ID - Type Unspecified
PA0000528886Medicare NSC