Provider Demographics
NPI:1235219072
Name:ORBACH, SHARON ELISE (DOM)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:ELISE
Last Name:ORBACH
Suffix:
Gender:F
Credentials:DOM
Other - Prefix:
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Mailing Address - Street 1:961 CAMINO DE CHELLY
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-6261
Mailing Address - Country:US
Mailing Address - Phone:505-473-4233
Mailing Address - Fax:505-474-4472
Practice Address - Street 1:1472 1/2 S SAINT FRANCIS DR
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4038
Practice Address - Country:US
Practice Address - Phone:505-265-5087
Practice Address - Fax:505-474-4472
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2008-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMNM134RX171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist