Individual
DR. EDWIN WEBSTER SHEARBURN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 LAWN AVE, SUITE 203, SELLERSVILLE, PA 18960-1551
(215) 453-3400
(215) 453-3410
Mailing address
PO BOX 1111, HARLEYSVILLE, PA 19438-0907
(215) 453-4995
(215) 453-4646
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD016225E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000647298
—
PA
01
—
0021717000
KEYSTONE HEATH PLANS
PA
01
—
010058
BLUE SHIELD
PA
Enumeration date
08/22/2005
Last updated
06/11/2015
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