Provider Demographics
NPI:1700879962
Name:TOWNS, SHAARON ROSE (MD)
Entity Type:Individual
Prefix:
First Name:SHAARON
Middle Name:ROSE
Last Name:TOWNS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5804 BALTIMORE AVE
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20781-1623
Mailing Address - Country:US
Mailing Address - Phone:301-927-7800
Mailing Address - Fax:301-927-0375
Practice Address - Street 1:5632 ANNAPOLIS RD
Practice Address - Street 2:STE 7
Practice Address - City:BLADENSBURG
Practice Address - State:MD
Practice Address - Zip Code:20710-2213
Practice Address - Country:US
Practice Address - Phone:301-927-2490
Practice Address - Fax:301-927-6587
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD37808208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
E83877Medicare UPIN
MD414588Medicare ID - Type Unspecified