Individual
MICHAEL SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 ENGLISH CREEK AVENUE, BLDG 1300, EGG HARBOR TWP, NJ 08234-5598
(800) 321-9999
(267) 479-1321
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(609) 677-7003
(267) 339-3761
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00454400
NJ
363AM0700X
Medical Physician Assistant
MA059225
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
12/20/2015
Last updated
03/01/2022
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