Individual
DR. HARRY WALTON SHARP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
524 WILLIAMSTOWN RD STE A, SICKLERVILLE, NJ 08081-1800
(856) 728-1181
(856) 728-1182
Mailing address
1415 MARLTON PIKE E STE LL5, CHERRY HILL, NJ 08034-2229
(856) 285-7200
(856) 285-7201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB02886900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0455091
MEDICAID GROUP
NJ
01
—
381020
MEDICARE GROUP
NJ
Enumeration date
09/02/2006
Last updated
02/12/2019
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