Provider Demographics
NPI:1225442999
Name:SHARON, RAFAEL H (NCPSYA, SCPSYA)
Entity Type:Individual
Prefix:MR
First Name:RAFAEL
Middle Name:H
Last Name:SHARON
Suffix:
Gender:M
Credentials:NCPSYA, SCPSYA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 CLOVER LN
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-4049
Mailing Address - Country:US
Mailing Address - Phone:609-683-7808
Mailing Address - Fax:609-497-9413
Practice Address - Street 1:108 CLOVER LN
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-4049
Practice Address - Country:US
Practice Address - Phone:609-683-7808
Practice Address - Fax:609-497-9413
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-20
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst