Provider Demographics
NPI:1407111669
Name:NAMAROFF, SHARON (CGC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:NAMAROFF
Suffix:
Gender:F
Credentials:CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BURNHAM RD
Mailing Address - Street 2:
Mailing Address - City:WENHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01984-1945
Mailing Address - Country:US
Mailing Address - Phone:978-502-8784
Mailing Address - Fax:
Practice Address - Street 1:99 CONIFER HILL DRIVE
Practice Address - Street 2:VERITAS GENETICS
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923
Practice Address - Country:US
Practice Address - Phone:978-502-8784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-12
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAGC173170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS