Provider Demographics
NPI:1457685539
Name:SARSHIK, STUART ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:ALAN
Last Name:SARSHIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:833 CHESTNUT ST
Mailing Address - Street 2:STE 703
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4414
Mailing Address - Country:US
Mailing Address - Phone:215-955-1000
Mailing Address - Fax:215-923-2275
Practice Address - Street 1:833 CHESTNUT ST
Practice Address - Street 2:STE 703
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-4414
Practice Address - Country:US
Practice Address - Phone:215-955-1000
Practice Address - Fax:215-923-2275
Is Sole Proprietor?:No
Enumeration Date:2009-09-23
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD019980E208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000891493Medicaid
NJ0267252Medicaid
PA000891493Medicaid