Provider Demographics
NPI:1750330015
Name:SHARE, DAVID SETH (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:SETH
Last Name:SHARE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5507
Mailing Address - Country:US
Mailing Address - Phone:215-440-8681
Mailing Address - Fax:215-440-9953
Practice Address - Street 1:805 LOCUST ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5507
Practice Address - Country:US
Practice Address - Phone:215-440-8681
Practice Address - Fax:215-440-9953
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA 60523207RN0300X
PAMD460670207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6200109Medicaid
NJ4624807Medicaid
NJ6200109Medicaid
NJ4624807Medicaid