Provider Demographics
NPI:1407940091
Name:STECHNA, SHARON B (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:B
Last Name:STECHNA
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:PO BOX 515
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08501
Mailing Address - Country:US
Mailing Address - Phone:732-235-6700
Mailing Address - Fax:732-235-6726
Practice Address - Street 1:277 GEORGE STREET
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901
Practice Address - Country:US
Practice Address - Phone:732-235-6700
Practice Address - Fax:732-235-6726
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07823200207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0051675Medicaid
NJ166963A0WMedicare PIN
NJG89187Medicare UPIN
NJ0051675Medicaid