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Individual

MS. SHARA ROSE BIALO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
25MA09880800
NJ
2080P0205X
Pediatric Endocrinology Physician
C1-0011723
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103170259
PA
05
7772050-00
MD
Enumeration date
03/30/2009
Last updated
04/14/2017
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