Provider Demographics
NPI:1093895799
Name:SHARP, STEPHEN J (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:J
Last Name:SHARP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:WALTER REED ARMY MEDICAL DEPT OF NEUROLOGY CTR
Mailing Address - Street 2:6900 GEORGIA AVE. NW. BLDG. 2; RM 1L
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20307-0001
Mailing Address - Country:US
Mailing Address - Phone:202-782-6862
Mailing Address - Fax:
Practice Address - Street 1:WALTER REED ARMY MEDICAL DEPT OF NEUROLOGY CTR
Practice Address - Street 2:6900 GEORGIA AVE. NW. BLDG. 2; RM 1L
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-0001
Practice Address - Country:US
Practice Address - Phone:202-782-6862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV117042084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology