Provider Demographics
NPI:1912285065
Name:EPSTEIN, SHARA ILYSE (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARA
Middle Name:ILYSE
Last Name:EPSTEIN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1601 CHERRY ST
Mailing Address - Street 2:SUITE 11511
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-1320
Mailing Address - Country:US
Mailing Address - Phone:215-255-7822
Mailing Address - Fax:215-255-7825
Practice Address - Street 1:1427 VINE ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1031
Practice Address - Country:US
Practice Address - Phone:215-762-2530
Practice Address - Fax:215-762-2531
Is Sole Proprietor?:No
Enumeration Date:2011-07-22
Last Update Date:2023-05-25
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Provider Licenses
StateLicense IDTaxonomies
PAMD457001207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine