Individual
SHARON JAN MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5411 OLD FREDERICK RD, SUITE 18, BALTIMORE, MD 21229-2195
(410) 788-4800
(410) 788-6701
Mailing address
5411 OLD FREDERICK RD, SUITE 18, BALTIMORE, MD 21229-2195
(410) 788-4800
(410) 788-6701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0038762
MD
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
D0038762
MD
207RH0003X
Hematology & Oncology Physician
D0038762
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401662
UNITED HEALTHCARE AMERICH
—
01
—
1442421
UNITED HEALTHCARE
—
01
—
241559
OPTIMUM CHOICE MEDICINE
—
01
—
341559
OPTIMUM CHOICE ONCOLOGY
—
01
—
441559
OPTIMUM CHOICE HEMATOLOGY
—
01
—
52989302
CAREFIRST BCBS
MD
01
—
555691
AETNA
—
01
—
R8280004
CAREFIRST BCBS FEDERAL DC
—
Enumeration date
09/16/2005
Last updated
09/21/2007
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