Provider Demographics
NPI:1942525530
Name:SHELDON, LYNNE TOBIE (DO)
Entity Type:Individual
Prefix:DR
First Name:LYNNE
Middle Name:TOBIE
Last Name:SHELDON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:100 SPRINGDALE RD
Mailing Address - Street 2:A-3 #116
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-3300
Mailing Address - Country:US
Mailing Address - Phone:609-923-0799
Mailing Address - Fax:856-489-6451
Practice Address - Street 1:100 SPRINGDALE RD
Practice Address - Street 2:A-3 #116
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-3300
Practice Address - Country:US
Practice Address - Phone:609-923-0799
Practice Address - Fax:856-489-6451
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-07
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB03626900207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine