Provider Demographics
NPI:1518923671
Name:SENZON, SHARI LEIGH (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARI
Middle Name:LEIGH
Last Name:SENZON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 22581
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-2581
Mailing Address - Country:US
Mailing Address - Phone:610-482-4795
Mailing Address - Fax:856-528-3117
Practice Address - Street 1:85 OLD EAGLE SCHOOL RD
Practice Address - Street 2:
Practice Address - City:STRAFFORD
Practice Address - State:PA
Practice Address - Zip Code:19087-2544
Practice Address - Country:US
Practice Address - Phone:610-688-3744
Practice Address - Fax:610-688-4490
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD059790L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
5129688OtherAETNA
PA975695OtherHIGHMARK BLUE SHIELD
PA0688653000OtherKEYSTONE HEALTH PLAN EAST
PA975695OtherPERSONAL CHOICE
5129688OtherAETNA
PA975695OtherPERSONAL CHOICE