Provider Demographics
NPI:1891963385
Name:DEBORAH J. SHARLIN
Entity Type:Organization
Organization Name:DEBORAH J. SHARLIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:J
Authorized Official - Last Name:SHARLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:215-674-8577
Mailing Address - Street 1:205 NEWTOWN RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-5275
Mailing Address - Country:US
Mailing Address - Phone:215-674-8577
Mailing Address - Fax:215-674-9953
Practice Address - Street 1:205 NEWTOWN RD
Practice Address - Street 2:SUITE 101
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-5275
Practice Address - Country:US
Practice Address - Phone:215-674-8577
Practice Address - Fax:215-674-9953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC003419L213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0139396901Medicaid
PA022823Medicare PIN
PA5658460001Medicare NSC