Provider Demographics
NPI:1558450940
Name:ZWILLINGER, SHARON ALYSSA (MD)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:ALYSSA
Last Name:ZWILLINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:724 YORKLYN RD
Mailing Address - Street 2:SUITE 375
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-8704
Mailing Address - Country:US
Mailing Address - Phone:302-239-2600
Mailing Address - Fax:302-235-2700
Practice Address - Street 1:724 YORKLYN RD
Practice Address - Street 2:SUITE 375
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-8704
Practice Address - Country:US
Practice Address - Phone:302-239-2600
Practice Address - Fax:302-235-2700
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC100056592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
G80034Medicare UPIN
490646Medicare ID - Type Unspecified