Provider Demographics
NPI:1356440770
Name:GARG, SHERRY S (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:S
Last Name:GARG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:154 EXTON SQUARE MALL
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2440
Mailing Address - Country:US
Mailing Address - Phone:484-876-3500
Mailing Address - Fax:610-280-1595
Practice Address - Street 1:154 EXTON SQUARE MALL
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2440
Practice Address - Country:US
Practice Address - Phone:484-876-3500
Practice Address - Fax:610-280-1595
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD427445207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA232359401OtherMAIN LINE HEALTHCARE
PA232359401OtherMAIN LINE HEALTHCARE