Individual
DR. SHARON ELLEN NEIBEL-PONDEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4C NORTH AVE, SUITE 403, BEL AIR, MD 21014-2330
(410) 838-0343
Mailing address
1138 SPARROW MILL WAY, BEL AIR, MD 21015-6134
(410) 838-0343
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
D38038
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208000000X
TAXONOMY NUMBER
MD
01
—
522272246
TAX ID #
MD
05
—
543711300
—
MD
01
—
D38038
STATE LICENSE NUMBER
MD
Enumeration date
08/21/2006
Last updated
07/09/2007
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