Provider Demographics
NPI:1417011719
Name:SHARLIN, DEBORAH J (DPM)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:J
Last Name:SHARLIN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 NEWTOWN RD
Mailing Address - Street 2:STE 101
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-5206
Mailing Address - Country:US
Mailing Address - Phone:215-674-8577
Mailing Address - Fax:215-318-1171
Practice Address - Street 1:205 NEWTOWN RD
Practice Address - Street 2:STE 101
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-5206
Practice Address - Country:US
Practice Address - Phone:215-674-8577
Practice Address - Fax:215-318-1171
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC003419L213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1393969Medicaid
PAU18267Medicare UPIN
PA1393969Medicaid
PASH675039Medicare ID - Type UnspecifiedMEDICARE PROVIDER #