Provider Demographics
NPI:1912913039
Name:STOTSKY, SHARON ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:ANN
Last Name:STOTSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:SHARON
Other - Middle Name:ANN
Other - Last Name:HILMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:64 CONCORD STREET
Mailing Address - Street 2:STE C
Mailing Address - City:WILMINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01887
Mailing Address - Country:US
Mailing Address - Phone:978-988-9700
Mailing Address - Fax:978-988-9701
Practice Address - Street 1:64 CONCORD STREET
Practice Address - Street 2:STE C
Practice Address - City:WILMINGTON
Practice Address - State:MA
Practice Address - Zip Code:01887
Practice Address - Country:US
Practice Address - Phone:978-988-9700
Practice Address - Fax:978-988-9701
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA52127207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
110244500OtherRAILROAD MEDICARE
3200088OtherUNITED HEALTH
93760OtherCIGNA
0012128OtherNEIGHBORHOOD HEALTH
S017406OtherCHAMPUS
MA3039668Medicaid
M20924OtherUNITED RR RETIREE
60072OtherHARVARD PILGRIM
052127OtherTUFTS HEALTH
17195OtherUNICARE
2174054OtherAETNA US HEALTH
J03483OtherBCBS
11074890OtherUNITED RR RETIREE
0019749OtherNEIGHBORHOOD HEALTH
052127OtherTUFTS CARE PREFERRED
685624OtherTUFTS CARE PREFERRED
M17286OtherBCBS
S017406OtherCHAMPUS
0019749OtherNEIGHBORHOOD HEALTH
MA3039668Medicaid