Individual
KATHERINE SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
645 HIGHWAY 18, EAST BRUNSWICK, NJ 08816-3760
(732) 390-1190
Mailing address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
026920
NY
363A00000X
Physician Assistant
Primary
25MP00647700
NJ
363A00000X
Physician Assistant
—
—
Other
Enumeration date
12/19/2019
Last updated
02/04/2025
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