Provider Demographics
NPI:1457454050
Name:ALTMAN, SHARON LEE (DO)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:LEE
Last Name:ALTMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:LEE
Other - Last Name:MEALS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:751 MERCHANT STREET
Mailing Address - Street 2:
Mailing Address - City:AMBRIDGE
Mailing Address - State:PA
Mailing Address - Zip Code:15003-1304
Mailing Address - Country:US
Mailing Address - Phone:724-777-2240
Mailing Address - Fax:724-266-0738
Practice Address - Street 1:751 MERCHANT STREET
Practice Address - Street 2:
Practice Address - City:AMBRIDGE
Practice Address - State:PA
Practice Address - Zip Code:15003-1304
Practice Address - Country:US
Practice Address - Phone:724-777-2240
Practice Address - Fax:724-266-0738
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS004439L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA07667120Medicaid
PA001045295 0004OtherMA - PROMISE
C31994Medicare UPIN
PA07667120Medicaid