Provider Demographics
NPI:1265484000
Name:MARSHALL, SHARON A (MD)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:A
Last Name:MARSHALL
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 1:7 DREYER WAY
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867-2775
Mailing Address - Country:US
Mailing Address - Phone:603-332-6413
Mailing Address - Fax:603-335-1076
Practice Address - Street 1:7 DREYER WAY
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-2775
Practice Address - Country:US
Practice Address - Phone:603-332-6413
Practice Address - Fax:603-335-1076
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH136322085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30207051Medicaid
NH01Y003317ME03OtherANTHEM
NHAA96673OtherHARVARD PILGRIM HEALTHCAR
H95685Medicare UPIN
NH01Y003317ME03OtherANTHEM