Provider Demographics
NPI:1114183654
Name:SIFFORD-WILSON, SHARON MONET (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:MONET
Last Name:SIFFORD-WILSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 CHADWICK DR
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-5827
Mailing Address - Country:US
Mailing Address - Phone:302-698-3725
Mailing Address - Fax:302-698-3726
Practice Address - Street 1:38 CHADWICK DR
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-5827
Practice Address - Country:US
Practice Address - Phone:302-698-3725
Practice Address - Fax:302-698-3726
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-04
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC100004045207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine