Individual
STEPHANIE SHARPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5101 LANIER AVE, BALTIMORE, MD 21215-5321
(410) 601-9300
(410) 601-8741
Mailing address
2435 W BELVEDERE AVE STE 22, BALTIMORE, MD 21215-5224
(410) 601-6840
(410) 601-8741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD427618
PA
207RN0300X
Nephrology Physician
MD427618
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-2359401
MAIN LINE HEALTHCARE TX ID
PA
Enumeration date
12/18/2006
Last updated
09/15/2020
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