Provider Demographics
NPI:1851303564
Name:MULLANE, SHARON M (MD)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:M
Last Name:MULLANE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9 INDUSTRIAL RD STE 5
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-3736
Mailing Address - Country:US
Mailing Address - Phone:508-473-1480
Mailing Address - Fax:508-473-1210
Practice Address - Street 1:440 E CENTRAL ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-1374
Practice Address - Country:US
Practice Address - Phone:508-298-1300
Practice Address - Fax:508-298-1301
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA79562207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000028148OtherBMC HEALTHNET
0101305OtherUHC
MA48509OtherFALLON
MAJ14751OtherMABC
MA079562OtherTUFTS
MA3134580Medicaid
407213OtherRI BLUE CHIP
MAB10114402OtherCIGNA
MA68744OtherHPHC
MA48509OtherFALLON
MAJ14751Medicare ID - Type Unspecified