Individual
JACLYN SHARKAZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1240 S CEDAR CREST BLVD STE 308, ALLENTOWN, PA 18103-6370
(610) 402-1350
(610) 402-1356
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA059149
PA
Other
Enumeration date
08/08/2017
Last updated
12/08/2017
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